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General NPI Number Information
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NPI Number | 1063707438
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Entity Type | Individual
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Provider Name | ADAM P MISASI MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3550 S 4TH ST STE 115
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5061
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Country | US
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Telephone | 913-334-6800
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Fax | 913-334-0875
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Provider Business Mailing Address
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Address Line | 4801 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1628
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Country | US
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Telephone | 816-478-4200
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Fax | 816-875-2597
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 7644
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License Number State | KS
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