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General NPI Number Information
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NPI Number | 1255477352
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Entity Type | Individual
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Provider Name | CHERYL D WORMINGTON MSN RN BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 1700 SWIFT AVE STE 200
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City | KANSAS CITY
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State | MO
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Zip | 64116-3834
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Country | US
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Telephone | 785-262-9911
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Fax | 785-414-5184
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Provider Business Mailing Address
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Address Line | 1700 SWIFT AVE STE 200
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City | KANSAS CITY
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State | MO
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Zip | 64116-3834
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Country | US
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Telephone | 785-262-9911
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Fax | 816-499-8891
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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 | 095709
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License Number State | MO
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