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General NPI Number Information
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NPI Number | 1053583088
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Entity Type | Individual
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Provider Name | OBIE ANDREL AUSTIN MSN,ANP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 4825 TROOST AVE SUITE 115
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City | KANSAS CITY
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State | MO
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Zip | 64110-2030
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Country | US
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Telephone | 816-235-6133
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Fax | 816-235-6565
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Provider Business Mailing Address
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Address Line | 2464 CHARLOTTE ST HEALTH SCEINCES BUILDING
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City | KANSAS CITY
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State | MO
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Zip | 64108-2718
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Country | US
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Telephone | 816-235-5609
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Fax | 816-235-1701
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN140639
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License Number State | MO
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