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General NPI Number Information
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NPI Number | 1023823432
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Entity Type | Individual
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Provider Name | VICTOR OSUALA BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4801 E LINWOOD BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2226
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Country | US
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Telephone | 816-861-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 12407 MONROE AVE
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City | GRANDVIEW
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State | MO
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Zip | 64030-1528
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Country | US
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Telephone | 816-824-5646
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 2021036237
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License Number State | MO
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