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General NPI Number Information
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NPI Number | 1114656766
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Entity Type | Individual
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Provider Name | BRETT WOODS PHD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 10730 NALL AVE STE 200
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1285
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Country | US
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Telephone | 913-588-1491
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Fax | 913-945-9840
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Provider Business Mailing Address
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Address Line | 6732 NW MONTICELLO TER
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City | KANSAS CITY
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State | MO
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Zip | 64152-5705
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Country | US
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Telephone | 913-645-2760
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 03137
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2022040767
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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