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General NPI Number Information
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NPI Number | 1124833231
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Entity Type | Individual
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Provider Name | TINA FAYE SQUIRES RN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 4801 E LINWOOD BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2226
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Country | US
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Telephone | 816-861-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 S EMERY ST
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City | INDEPENDENCE
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State | MO
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Zip | 64055-3444
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Country | US
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Telephone | 816-405-0365
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 2011003992
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License Number State | MO
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