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General NPI Number Information
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NPI Number | 1942996327
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Entity Type | Individual
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Provider Name | SEBLE GETAHUN TAFESSE NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 12616 W 62ND TER STE 112
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City | SHAWNEE
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State | KS
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Zip | 66216-1863
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Country | US
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Telephone | 913-225-9783
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Fax |
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Provider Business Mailing Address
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Address Line | 17295 W 156TH TER
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City | OLATHE
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State | KS
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Zip | 66062-6337
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Country | US
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Telephone | 913-638-6981
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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 | 81095
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License Number State | KS
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