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General NPI Number Information
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NPI Number | 1194581710
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Entity Type | Individual
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Provider Name | SYDNI NIERNBERGER
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Gender | Female
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 105 W 13TH ST
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City | HAYS
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State | KS
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Zip | 67601-3613
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Country | US
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Telephone | 785-621-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 105 W 13TH ST
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City | HAYS
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State | KS
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Zip | 67601-3613
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F02240551
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 139940
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 83124
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License Number State | KS
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