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General NPI Number Information
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NPI Number | 1457972622
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Entity Type | Individual
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Provider Name | BLAIR D G WATKINS DNP APRN FNP-C BSPH
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Gender | Female
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 6525 E MAINSGATE RD
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City | WICHITA
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State | KS
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Zip | 67226-1062
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Country | US
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Telephone | 316-766-6773
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Fax | 316-669-4798
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Provider Business Mailing Address
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Address Line | 736 SULLIVAN DR
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City | MULVANE
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State | KS
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Zip | 67110-1209
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Country | US
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Telephone |
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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 | 79332
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License Number State | KS
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