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General NPI Number Information
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NPI Number | 1093520991
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Entity Type | Individual
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Provider Name | SARAH M KENNEDY
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 9393 W 110TH ST # 51
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1442
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 2870 COUNTY RD 1077
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City | BLUE MOUND
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State | KS
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Zip | 66010-9446
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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