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General NPI Number Information
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NPI Number | 1366306755
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Entity Type | Individual
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Provider Name | CHERYL K JAHNKE
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 301 S WALNUT ST
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City | COTTONWOOD FALLS
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State | KS
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Zip | 66845-2895
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Country | US
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Telephone | 620-273-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 2354 290TH RD
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City | EMPORIA
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State | KS
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Zip | 66801-9519
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Country | US
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Telephone | 620-794-7932
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53-85036-032
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License Number State | KS
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