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NPI 1548727548

NPI 1548727548 : STEPHANIE ANN MESCH APRN : COLBY, KS

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General NPI Number Information
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    NPI Number           |    1548727548
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE ANN MESCH APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2019
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    Last Update Date     |    01/17/2022
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Provider Practice Location Address
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    Address Line         |    100 E COLLEGE DR 
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    City                 |    COLBY
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    State                |    KS
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    Zip                  |    67701-3799
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    Country              |    US
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    Telephone            |    785-462-7511
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    Fax                  |    785-460-1490
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Provider Business Mailing Address
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    Address Line         |    310 E COLLEGE DR 
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    City                 |    COLBY
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    State                |    KS
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    Zip                  |    67701-3716
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    Country              |    US
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    Telephone            |    785-462-6184
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    Fax                  |    785-460-1490
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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       |    53-78611
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    License Number State |    KS
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