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General NPI Number Information
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NPI Number | 1689543241
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Entity Type | Individual
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Provider Name | LASASHA ROSALES APRN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 555 W 15TH ST
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City | LIBERAL
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State | KS
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Zip | 67901-2461
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Country | US
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Telephone | 620-624-0702
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Fax | 620-624-3402
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Provider Business Mailing Address
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Address Line | 717 E SPRUCE ST
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City | LIBERAL
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State | KS
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Zip | 67901-4162
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Country | US
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Telephone | 620-629-6739
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Fax | 620-629-6523
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 84931
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License Number State | KS
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