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General NPI Number Information
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NPI Number | 1689497679
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Entity Type | Individual
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Provider Name | MARC JAMES LONER APRN
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Gender | Male
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 20 NE SAINT LUKES BLVD STE 330
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City | LEES SUMMIT
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State | MO
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Zip | 64086-6001
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Country | US
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Telephone | 816-347-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 18TH AVE APT 735
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3685
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Country | US
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Telephone | 816-207-8708
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | TMP-162681
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | TMP-162681
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | TMP-162681
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License Number State | KS
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