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General NPI Number Information
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NPI Number | 1366172504
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Entity Type | Individual
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Provider Name | AMBER VAIL RN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 06/11/2022
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Provider Practice Location Address
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Address Line | 800 W 14TH ST
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City | CHANUTE
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State | KS
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Zip | 66720-2639
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Country | US
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Telephone | 620-432-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W 14TH ST
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City | CHANUTE
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State | KS
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Zip | 66720-2639
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Country | US
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Telephone | 620-432-0386
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 13-80927
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License Number State | KS
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