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General NPI Number Information
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NPI Number | 1679193908
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Entity Type | Individual
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Provider Name | JAMIE RENE MENSE APRN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 520 W 5TH ST
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City | QUINTER
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State | KS
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Zip | 67752-9705
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Country | US
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Telephone | 785-754-3333
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Fax | 785-754-2335
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Provider Business Mailing Address
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Address Line | 210 S VERMONT AVE
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City | RANSOM
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State | KS
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Zip | 67572-9525
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Country | US
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Telephone | 785-731-2295
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Fax | 785-731-2882
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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 | 80567
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License Number State | KS
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