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General NPI Number Information
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NPI Number | 1033895669
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Entity Type | Individual
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Provider Name | GRACE MOORE T-LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 25055 W VALLEY PKWY
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City | OLATHE
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State | KS
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Zip | 66061-8430
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Country | US
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Telephone | 563-265-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 10531 W 113TH ST APT 4402
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2288
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Country | US
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Telephone | 563-265-4010
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13210-T
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License Number State | KS
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