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General NPI Number Information
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NPI Number | 1932268653
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Entity Type | Individual
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Provider Name | JANA D. HYDEN WHNP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1965 S. FREMONT SUITE 270
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City | SPRINGFIELD
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State | MO
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Zip | 65804
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Country | US
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Telephone | 417-820-3890
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Fax | 417-820-3567
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Provider Business Mailing Address
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Address Line | P.O. BOX 2580
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City | SPRINGFIELD
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State | MO
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Zip | 65801-2580
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Country | US
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Telephone | 417-829-4620
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Fax | 417-829-4316
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 120130
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License Number State | MO
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