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General NPI Number Information
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NPI Number | 1003429135
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Entity Type | Individual
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Provider Name | SARA CATHERINE O'CONNELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 300 W 19TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64108-2026
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Country | US
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Telephone | 816-352-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 SE LONDON WAY
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2163
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Country | US
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Telephone | 816-352-0970
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2020016794
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License Number State | MO
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