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General NPI Number Information
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NPI Number | 1114465457
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Entity Type | Individual
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Provider Name | ELIZABETH BERTSCHY NP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1980 SE BLUE PKWY STE 2110
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City | LEES SUMMIT
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State | MO
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Zip | 64063-1074
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Country | US
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Telephone | 913-234-7600
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Fax | 816-361-5775
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Provider Business Mailing Address
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Address Line | 5100 W 110TH ST STE 120
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1215
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Country | US
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Telephone | 913-234-7600
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Fax | 816-361-5775
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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 | 2017003632
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-77569-101
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License Number State | KS
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