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General NPI Number Information
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NPI Number | 1972269892
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Entity Type | Individual
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Provider Name | JACQUELINE MICHELLE MEIRINK FNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 14109 OVERBROOK RD STE D
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City | OVERLAND PARK
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State | KS
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Zip | 66224-4519
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Country | US
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Telephone | 913-291-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 39335 LONESTAR RD
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City | FONTANA
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State | KS
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Zip | 66026-7664
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Country | US
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Telephone | 913-522-7604
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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 | 53-80170-111
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License Number State | KS
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