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General NPI Number Information
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NPI Number | 1053825547
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Entity Type | Individual
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Provider Name | CURT BRECKENRIDGE MUNDIS LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 11011 KING ST STE 237
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City | OVERLAND PARK
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State | KS
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Zip | 66210-3210
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Country | US
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Telephone | 913-735-9433
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Fax | 913-871-3133
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Provider Business Mailing Address
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Address Line | 10024 W 118TH TER APT 301
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City | OVERLAND PARK
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State | KS
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Zip | 66210-3100
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Country | US
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Telephone | 816-682-8065
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10146
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License Number State | KS
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