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General NPI Number Information
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NPI Number | 1699951129
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Entity Type | Individual
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Provider Name | JOHN REXWINKLE D.C., CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1902 S US HIGHWAY 59
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City | PARSONS
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State | KS
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Zip | 67357-4948
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Country | US
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Telephone | 620-421-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LEAWOOD DR
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City | PARSONS
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State | KS
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Zip | 67357-3459
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Country | US
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Telephone | 918-409-4659
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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 | 146673
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License Number State | KS
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