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General NPI Number Information
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NPI Number | 1912615246
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Entity Type | Individual
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Provider Name | REBECCA JEAN LAGGER-DYAR NP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 16170 238TH ST
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City | TONGANOXIE
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State | KS
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Zip | 66086-3305
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Country | US
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Telephone | 619-647-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 16170 238TH ST
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City | TONGANOXIE
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State | KS
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Zip | 66086-3305
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Country | US
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Telephone | 619-647-3370
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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 | 53-81685-022
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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 | 53-81685-022
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License Number State | KS
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