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General NPI Number Information
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NPI Number | 1265349450
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Entity Type | Individual
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Provider Name | BEVERLEY RENEE SAMMONS APRN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 3515 BROADWAY AVE
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City | GREAT BEND
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State | KS
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Zip | 67530-3633
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Country | US
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Telephone | 620-792-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 418 CANTERBURY DR
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City | HAYS
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State | KS
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Zip | 67601-9542
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Country | US
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Telephone | 785-259-0951
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53-85700-121
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | 53-85700-121
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License Number State | KS
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