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General NPI Number Information
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NPI Number | 1407455496
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Entity Type | Individual
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Provider Name | EDWARD MWAURA KARANJA APRN
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Gender | Male
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 407 S CLAIRBORNE RD STE 104
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City | OLATHE
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State | KS
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Zip | 66062-1744
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Country | US
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Telephone | 913-648-2266
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Fax | 855-348-3430
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Provider Business Mailing Address
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Address Line | 9121 SCHWEIGER CT APT 257
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City | LENEXA
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State | KS
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Zip | 66219-2126
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Country | US
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Telephone | 316-308-5415
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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 | 53-79666-071
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License Number State | KS
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