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General NPI Number Information
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NPI Number | 1699002253
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Entity Type | Individual
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Provider Name | HEIDY REBEKAH BRILLHART APRN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 450 MORTON STREET
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City | ELKHART
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State | KS
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Zip | 67950
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Country | US
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Telephone | 620-518-3139
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 6
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City | KEYES
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State | OK
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Zip | 73947-9609
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Country | US
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Telephone | 806-236-6840
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Fax | 620-697-2185
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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 | 0072633
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-76427-042
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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 | 53-76427-042
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License Number State | KS
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