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General NPI Number Information
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NPI Number | 1386985091
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Entity Type | Individual
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Provider Name | DEBBIE ANN NAME PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 403 SYCAMORE ST
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City | VALLEY FALLS
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State | KS
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Zip | 66088-1318
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Country | US
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Telephone | 785-943-3263
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Fax | 785-945-3902
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Provider Business Mailing Address
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Address Line | 720 1ST TER
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City | LANSING
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State | KS
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Zip | 66043-1704
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Country | US
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Telephone | 913-682-5588
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Fax | 913-682-2698
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-01567
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License Number State | KS
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