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General NPI Number Information
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NPI Number | 1225421340
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Entity Type | Individual
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Provider Name | JESSICA HADWIN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2135 N COLLECTIVE LN
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City | WICHITA
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State | KS
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Zip | 67206-3560
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Country | US
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Telephone | 316-261-3220
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Fax | 316-261-3298
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Provider Business Mailing Address
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Address Line | 5901 S 127TH ST E
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City | DERBY
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State | KS
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Zip | 67037-9275
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Country | US
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Telephone | 316-516-0130
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP10851
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 53-76676-032
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License Number State | KS
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