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General NPI Number Information
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NPI Number | 1275392342
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Entity Type | Individual
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Provider Name | DR. EMMA A NDUNGU
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Gender | Female
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 7607 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67207-3111
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Country | US
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Telephone | 316-869-0015
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Fax | 316-618-0414
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Provider Business Mailing Address
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Address Line | 1152 N LINDEN CIR
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City | WICHITA
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State | KS
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Zip | 67206-4084
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Country | US
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Telephone | 316-992-2331
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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 | 53-82936-061
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License Number State | KS
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