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General NPI Number Information
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NPI Number | 1336094796
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Entity Type | Individual
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Provider Name | SHANTI N LOYD-CORNETTE
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1919 N AMIDON AVE STE 208
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City | WICHITA
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State | KS
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Zip | 67203-2119
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Country | US
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Telephone | 316-734-2161
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Fax | 316-425-8321
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Provider Business Mailing Address
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Address Line | 1919 N AMIDON AVE STE 208
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City | WICHITA
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State | KS
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Zip | 67203-2119
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Country | US
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Telephone | 316-734-2161
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Fax | 316-425-8321
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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