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General NPI Number Information
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NPI Number | 1548701717
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Entity Type | Individual
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Provider Name | SHANNON HORSCH APRN-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 3801 S OLIVER ST
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City | WICHITA
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State | KS
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Zip | 67210-2112
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Country | US
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Telephone | 316-526-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 4810 N 231ST ST W
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City | ANDALE
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State | KS
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Zip | 67001-9405
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Country | US
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Telephone | 316-706-7898
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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 | 53-45624-082
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License Number State | KS
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