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General NPI Number Information
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NPI Number | 1457686222
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Entity Type | Individual
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Provider Name | KEELY SUE LANOUE ARNP, OCN
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Gender | Female
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 2330 SHAWNEE MISSION PKWY MAIL STOP 5024
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone | 913-588-9287
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Fax | 913-588-4720
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Provider Business Mailing Address
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Address Line | 4017 W 73RD TER
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2934
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Country | US
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Telephone | 913-588-9287
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Fax | 913-588-4720
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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 | 53-75010-102
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License Number State | KS
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