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General NPI Number Information
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NPI Number | 1518485291
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 550 S OLIVER ST STE A
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City | WICHITA
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State | KS
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Zip | 67218-2351
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Country | US
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Telephone | 316-776-4163
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Fax | 888-365-6743
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Provider Business Mailing Address
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Address Line | 10822 SW 86TH TER
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City | AUGUSTA
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State | KS
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Zip | 67010-8019
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Country | US
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Telephone | 785-556-0890
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Fax | 888-365-6743
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Authorized Official
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Title or Position | OWNER/NP
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Name | JOSHUA ALAN REED
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Credential | NP
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Telephone | 316-776-4163
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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 | 76382
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License Number State | KS
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