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General NPI Number Information
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NPI Number | 1013737360
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE PRIMARY CARE SERVICES
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1030 MAIN ST
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City | NEODESHA
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State | KS
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Zip | 66757-1675
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Country | US
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Telephone | 620-874-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 MAIN ST
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City | NEODESHA
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State | KS
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Zip | 66757-1675
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Country | US
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Telephone | 620-874-8066
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Fax |
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Authorized Official
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Title or Position | APRN FNP-C OWNER
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Name | MR. EDWARD THEODORE DUENSING
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Credential | APRN FNP-C
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Telephone | 620-874-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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