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General NPI Number Information
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NPI Number | 1225066400
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Entity Type | Individual
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Provider Name | DEBORAH LEE SOBOTKA APRN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2640
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Country | US
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Telephone | 164-045-2718
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2640
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Country | US
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Telephone | 816-404-5271
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 079844
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License Number State | MO
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