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General NPI Number Information
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NPI Number | 1881231934
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Entity Type | Individual
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Provider Name | JANET RENE PORTER APRN, PMHNP-BC, DNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 14200 W 134TH PL STE 400
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City | OLATHE
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State | KS
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Zip | 66062-6140
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Country | US
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Telephone | 913-738-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 12302 MOHAWK LN
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City | LEAWOOD
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State | KS
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Zip | 66209-1434
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Country | US
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Telephone | 573-289-0816
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2019043670
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License Number State | MO
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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 | 53-78966-022
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License Number State | KS
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