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General NPI Number Information
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NPI Number | 1124093182
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Entity Type | Individual
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Provider Name | BREAHNA R JAMES APRN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 630 N ST. FRANCI'S STREET SUITE C
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City | WICHITA
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State | KS
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Zip | 67214-3862
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Country | US
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Telephone | 316-263-1623
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Fax | 316-263-2154
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Provider Business Mailing Address
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Address Line | 618 ROCKFORD STREET
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City | DERBY
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State | KS
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Zip | 67037-1941
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Country | US
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Telephone | 316-258-8060
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Fax | 316-681-3561
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 45730
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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 | 53-45-730-112
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License Number State | KS
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