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General NPI Number Information
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NPI Number | 1447783469
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Entity Type | Individual
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Provider Name | COLLEEN FEARON-STENNETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1301 W 12TH AVE STE 207
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City | EMPORIA
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State | KS
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Zip | 66801-2589
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Country | US
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Telephone | 620-342-4278
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Fax | 620-343-5989
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Provider Business Mailing Address
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Address Line | 1201 W 12TH AVE
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City | EMPORIA
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State | KS
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Zip | 66801-2504
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Country | US
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Telephone | 620-342-4278
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Fax | 620-343-5989
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 04-48393
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License Number State | KS
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