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General NPI Number Information
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NPI Number | 1104564319
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Entity Type | Individual
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Provider Name | JOCELYN WALSH
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 4000 CAMBRIDGE ST 2032 SUDLER MS 1034
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City | KANSAS CITY
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State | KS
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Zip | 66160-2271
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Country | US
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Telephone | 913-574-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 CAMBRIDGE ST 2032 SUDLER MS 1034
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City | KANSAS CITY
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State | KS
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Zip | 66160-2450
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Country | US
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Telephone | 913-588-1212
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 133322
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 5381277001
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License Number State | KS
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