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General NPI Number Information
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NPI Number | 1003957192
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Entity Type | Individual
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Provider Name | CARA L ZIRKLE RN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 12003 OLD LOG HOUSE RD
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City | HARVEYVILLE
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State | KS
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Zip | 66431-9288
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Country | US
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Telephone | 785-608-1963
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Fax |
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Provider Business Mailing Address
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Address Line | 12003 OLD LOG HOUSE RD
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City | HARVEYVILLE
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State | KS
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Zip | 66431-9288
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Country | US
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Telephone | 785-608-1963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-159044-071
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number | X02-18-5388
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License Number State | KS
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