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General NPI Number Information
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NPI Number | 1841981859
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Entity Type | Individual
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Provider Name | STEPHANIE J AVEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 281 E 12TH ST
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City | TONGANOXIE
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State | KS
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Zip | 66086-5511
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Country | US
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Telephone | 785-393-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 281 E 12TH ST
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City | TONGANOXIE
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State | KS
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Zip | 66086-5511
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Country | US
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Telephone | 785-393-3122
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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 | 43-558113-072
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2023025909
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License Number State | MO
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