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General NPI Number Information
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NPI Number | 1376308486
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Entity Type | Individual
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Provider Name | HEIDI MARIE PROCKISH MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3500 SW 6TH AVE
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City | TOPEKA
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State | KS
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Zip | 66606-2814
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Country | US
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Telephone | 785-235-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 SW 28TH ST
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City | TOPEKA
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State | KS
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Zip | 66614-2321
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Country | US
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Telephone | 785-408-5800
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Fax | 785-730-8700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-82904-091
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-82904-091
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 82904
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 53-82904-091
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License Number State | KS
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