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General NPI Number Information
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NPI Number | 1912607508
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Entity Type | Individual
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Provider Name | BAILEY BROOKE DONALDSON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 10500 QUIVIRA RD
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City | LENEXA
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State | KS
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Zip | 66215-2373
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Country | US
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Telephone | 913-541-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 18420 S RENNER RD
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City | OLATHE
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State | KS
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Zip | 66062-9173
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Country | US
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Telephone | 913-226-9315
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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 | 53-82110-042
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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 | F02230732
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License Number State | KS
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