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General NPI Number Information
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NPI Number | 1013847102
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Entity Type | Individual
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Provider Name | LILA ROSE WADSACK CPM
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Gender | Female
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Dates
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Enumeration Date | 05/20/2026
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Last Update Date | 05/20/2026
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Provider Practice Location Address
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Address Line | 1803 E 128TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64145-7811
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Country | US
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Telephone | 816-944-0777
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Fax | 816-875-4035
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Provider Business Mailing Address
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Address Line | 6225 TRACY AVE
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City | KANSAS CITY
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State | MO
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Zip | 64110-3440
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Country | US
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Telephone | 816-944-0777
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Fax | 816-875-4035
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 26050987
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License Number State | MO
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