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General NPI Number Information
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NPI Number | 1902445158
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Entity Type | Individual
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Provider Name | ERIC KARIUKI WAWERU FNP
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Gender | Male
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 10/15/2022
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Provider Practice Location Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2640
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Country | US
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Telephone | 816-404-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 14852 W PEPPERMILL DR
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City | OLATHE
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State | KS
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Zip | 66062-4663
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-79328-012
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License Number State | KS
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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 | 53-79328-012
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License Number State | KS
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