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General NPI Number Information
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NPI Number | 1285695627
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Entity Type | Individual
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Provider Name | JEAN M NELSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 1000 LINCOLN ST
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City | EMPORIA
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State | KS
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Zip | 66801-2449
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Country | US
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Telephone | 620-343-2211
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Fax | 620-342-1021
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Provider Business Mailing Address
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Address Line | 1000 LINCOLN ST
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City | EMPORIA
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State | KS
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Zip | 66801-2449
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Country | US
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Telephone | 620-343-2211
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Fax | 620-342-1021
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-59020-072
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 74643
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License Number State | KS
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