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General NPI Number Information
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NPI Number | 1558663609
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Entity Type | Individual
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Provider Name | MELISSA KAY LOOMIS DNP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 5417 JOHNSON DR
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City | MISSION
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State | KS
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Zip | 66205-2912
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Country | US
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Telephone | 913-261-9479
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Fax |
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Provider Business Mailing Address
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Address Line | 5417 JOHNSON DR
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City | MISSION
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State | KS
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Zip | 66205-2912
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Country | US
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Telephone | 913-261-9479
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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 | A154074
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License Number State | IA
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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 | 75864
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2010039079
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-75864-101
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License Number State | KS
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