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General NPI Number Information
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NPI Number | 1225161615
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Entity Type | Individual
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Provider Name | LINDA S HOLLIS RN, ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 1845 FAIRMOUNT STREET 209 AHLBERG HALL ROOM 209
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City | WICHITA
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State | KS
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Zip | 67620-0092
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Country | US
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Telephone | 316-978-3620
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Fax | 316-978-3517
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Provider Business Mailing Address
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Address Line | 1845 FAIRMOUNT STREET 209 AHLBERG HALL ROOM 209
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City | WICHITA
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State | KS
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Zip | 67620-0092
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Country | US
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Telephone | 316-978-3620
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Fax | 316-978-3517
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-44012-081
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 44012
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License Number State | KS
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