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General NPI Number Information
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NPI Number | 1497683924
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Entity Type | Organization
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Legal Business Name | ANEW JOURNEY LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 7450 QUIVIRA RD
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City | SHAWNEE
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State | KS
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Zip | 66216-3526
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Country | US
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Telephone | 913-412-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 E DOUGLAS AVE STE 150
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City | WICHITA
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State | KS
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Zip | 67218-1011
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Country | US
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Telephone | 913-412-2589
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH FRYER
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Credential | FNP-C, PMHNP-BC
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Telephone | 206-387-8028
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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 |
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License Number State |
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