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General NPI Number Information
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NPI Number | 1457049637
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Entity Type | Individual
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Provider Name | JORDAN PAIGE NEWELL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 3825 CAMBRIDGE ST
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City | KANSAS CITY
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State | KS
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Zip | 66103-2271
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Country | US
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Telephone | 913-588-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 CAMBRIDGE ST
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City | KANSAS CITY
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State | KS
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Zip | 66103-2271
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Country | US
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Telephone | 620-253-1285
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | TMP-161617
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License Number State | KS
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