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General NPI Number Information
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NPI Number | 1093534265
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Entity Type | Individual
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Provider Name | ROBERT GITHAIGA NP
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Gender | Male
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5251 W 116TH PL STE 200
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City | LEAWOOD
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State | KS
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Zip | 66211-2011
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Country | US
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Telephone | 913-586-8690
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Fax |
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Provider Business Mailing Address
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Address Line | 5251 W 116TH PL STE 200
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City | LEAWOOD
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State | KS
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Zip | 66211-2011
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Country | US
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Telephone | 913-586-8690
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-80522-071
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 80522
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License Number State | KS
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