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General NPI Number Information
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NPI Number | 1235916495
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Entity Type | Individual
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Provider Name | TIFFINY ELESE KOCHAN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2858 SW VILLA WEST DR STE 100
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City | TOPEKA
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State | KS
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Zip | 66614-5474
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Country | US
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Telephone | 188-890-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 2858 SW VILLA WEST DR STE 100
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City | TOPEKA
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State | KS
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Zip | 66614-5474
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Country | US
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Telephone | 888-901-6621
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-82507-042
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License Number State | KS
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