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NPI 1063962421

NPI 1063962421 : PATRICK NEAL STOFFEL N.P. : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1063962421
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK NEAL STOFFEL N.P.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2016
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    Last Update Date     |    12/03/2018
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Provider Practice Location Address
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    Address Line         |    3901 RAINBOW BLVD 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66160-8500
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    Country              |    US
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    Telephone            |    913-588-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8000 W 110TH ST STE 150
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66210-2382
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    Country              |    US
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    Telephone            |    913-599-6777
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    Fax                  |    913-599-3955
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    53-77396-012
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    License Number State |    KS
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