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General NPI Number Information
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NPI Number | 1013707215
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Entity Type | Organization
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Legal Business Name | POWERS HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 9938 N HARRISON DR
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City | KANSAS CITY
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State | MO
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Zip | 64155-2070
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Country | US
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Telephone | 816-406-8812
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Fax |
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Provider Business Mailing Address
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Address Line | 8450 NW PRAIRIE VIEW RD # 1107
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City | KANSAS CITY
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State | MO
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Zip | 64153-1841
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Country | US
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Telephone | 816-797-9735
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Fax | 816-207-0624
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MS. MODESTINE RAE POWERS
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Credential | FNP-BC
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Telephone | 816-797-9735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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