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General NPI Number Information
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NPI Number | 1174307490
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Entity Type | Individual
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Provider Name | LOU HERR A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 20375 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5306
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Country | US
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Telephone | 913-829-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 12213 CLUBHOUSE DR
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City | KANSAS CITY
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State | KS
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Zip | 66109-5804
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Country | US
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Telephone | 913-548-9590
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 53-82447-021
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License Number State | KS
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