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General NPI Number Information
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NPI Number | 1629506258
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Entity Type | Individual
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Provider Name | STEPHEN OKOTH CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1700 SW 7TH ST
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City | TOPEKA
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State | KS
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Zip | 66606-2489
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Country | US
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Telephone | 913-588-1227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800022
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City | KANSAS CITY
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State | MO
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Zip | 64180-0022
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN590684
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.1000833-CRNA
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 43-558362
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License Number State | KS
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