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General NPI Number Information
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NPI Number | 1295471605
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Entity Type | Individual
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Provider Name | SHERRIE R LENOX NP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 3343 W CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67203-4917
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Country | US
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Telephone | 316-260-4110
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Fax | 316-351-5731
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Provider Business Mailing Address
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Address Line | 1936 N NORTHRIDGE ST
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City | ANDOVER
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State | KS
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Zip | 67002-8496
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Country | US
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Telephone | 720-612-0610
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-0140846
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-164163-052
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 53-83528-052
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 997733
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License Number State | CO
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