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General NPI Number Information
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NPI Number | 1063291797
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Entity Type | Individual
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Provider Name | TIFFANY JOY LOEWEN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1122 N TOPEKA ST
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City | WICHITA
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State | KS
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Zip | 67214-2810
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Country | US
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Telephone | 316-866-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 N BROADWAY AVE
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City | WICHITA
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State | KS
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Zip | 67214-2805
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Country | US
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Telephone | 316-866-2000
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 142822
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TMP-162646
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License Number State | KS
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