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General NPI Number Information
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NPI Number | 1407180771
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Entity Type | Individual
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Provider Name | DOLLY CHERIAN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 106 W. 11TH ST. STE. 1215
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City | KANSAS CITY
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State | MO
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Zip | 64108-1813
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Country | US
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Telephone | 816-822-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 E 59TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64110-3549
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Country | US
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Telephone | 816-522-9292
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2005003493
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License Number State | MO
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