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General NPI Number Information
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NPI Number | 1205784808
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Entity Type | Individual
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Provider Name | GRIFFIN BASTIAN
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Gender | Male
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 401 SE 8TH AVE
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City | TOPEKA
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State | KS
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Zip | 66607-1112
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Country | US
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Telephone | 785-251-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 728 PARMA WAY
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City | GARDNER
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State | KS
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Zip | 66030-1295
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Country | US
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Telephone | 517-980-2171
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 163440
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License Number State | KS
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