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General NPI Number Information
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NPI Number | 1093609554
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Entity Type | Organization
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Legal Business Name | UNCAPPED INSPIRATION, LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 11922 FOOD LN
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City | GRANDVIEW
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State | MO
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Zip | 64030-1335
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Country | US
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Telephone | 816-522-9315
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35084
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City | KANSAS CITY
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State | MO
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Zip | 64134-5084
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Country | US
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Telephone | 816-522-9315
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | LATONYA STEPHENS
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Credential | PHD, LMFT
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Telephone | 816-522-9315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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