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General NPI Number Information
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NPI Number | 1003709791
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Entity Type | Individual
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Provider Name | PEGGY GREGG LMT
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Gender | Female
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 12615 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1317
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Country | US
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Telephone | 913-338-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N NORMANDY ST
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City | OLATHE
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State | KS
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Zip | 66061-5086
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Country | US
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Telephone | 913-406-1380
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | THR-060282
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License Number State | KS
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