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General NPI Number Information
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NPI Number | 1306133095
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Entity Type | Individual
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Provider Name | DEBRA L ANDERSON DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/16/2022
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Provider Practice Location Address
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Address Line | 404 N CHESTNUT STREET
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City | JOHNSON
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State | KS
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Zip | 67855-0639
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Country | US
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Telephone | 620-492-1400
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Fax | 620-492-1608
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | JOHNSON
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State | KS
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Zip | 67855-0639
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Country | US
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Telephone | 620-492-1400
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Fax | 620-492-1608
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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 | 108186
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A-108186
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-77305-031
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License Number State | KS
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