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General NPI Number Information
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NPI Number | 1326869371
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Entity Type | Individual
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Provider Name | MIRRIAM WANJIRU OYUGI NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1148 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-4006
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Country | US
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Telephone | 316-687-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 10913 E MOUNT VERNON CT
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City | WICHITA
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State | KS
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Zip | 67207-7711
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Country | US
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Telephone | 316-516-2321
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-83719-062
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License Number State | KS
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