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General NPI Number Information
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NPI Number | 1376317149
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Entity Type | Individual
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Provider Name | KELLY LYNN JOBBINS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 10979 214TH RD
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City | NORTONVILLE
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State | KS
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Zip | 66060-5068
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Country | US
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Telephone | 913-360-2542
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Fax |
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Provider Business Mailing Address
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Address Line | 18086 K 192 HWY
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City | WINCHESTER
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State | KS
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Zip | 66097-3093
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Country | US
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Telephone | 913-683-4391
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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