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General NPI Number Information
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NPI Number | 1508667338
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Entity Type | Organization
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Legal Business Name | PLUME HEALTH, PC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 801 E DOUGLAS AVE FL 2
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 720-897-3749
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Fax | 720-815-0227
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Provider Business Mailing Address
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Address Line | 303 S BROADWAY STE 200-357
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City | DENVER
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State | CO
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Zip | 80209-1558
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Country | US
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Telephone | 720-248-4483
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Fax |
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Authorized Official
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Title or Position | SENIOR CREDENTIALING SPECIALIST
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Name | JAYDEN ALEXANDER HERNANDEZ
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Credential |
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Telephone | 631-307-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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