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General NPI Number Information
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NPI Number | 1053132464
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Entity Type | Organization
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Legal Business Name | AUDACITY BUSINESS SOLUTIONS LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 804 N MEADOWBROOK DR STE 110
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City | OLATHE
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State | KS
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Zip | 66062-5501
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Country | US
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Telephone | 762-338-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 804 N MEADOWBROOK DR STE 110
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City | OLATHE
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State | KS
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Zip | 66062-5501
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Country | US
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Telephone | 762-338-1275
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | MR. BURNELL WILLIAMS JR.
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Credential |
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Telephone | 913-544-6106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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