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General NPI Number Information
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NPI Number | 1710055082
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Entity Type | Individual
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Provider Name | KATHERINE ROSE DUKE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 4601 W 109TH ST STE 116
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1313
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Country | US
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Telephone | 913-469-1115
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Fax | 913-948-9164
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Provider Business Mailing Address
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Address Line | 4601 W 109TH ST STE 116
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1313
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Country | US
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Telephone | 913-469-1115
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Fax | 913-948-9164
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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 | 53-46132-032
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2006001233
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License Number State | MO
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