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General NPI Number Information
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NPI Number | 1134688351
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Entity Type | Individual
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Provider Name | BRENDA DEANN COHU FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 400 E RED BRIDGE RD STE 207
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City | KANSAS CITY
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State | MO
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Zip | 64131-4030
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Country | US
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Telephone | 913-681-2398
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Fax | 913-681-2416
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Provider Business Mailing Address
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Address Line | 400 E RED BRIDGE RD STE 207
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City | KANSAS CITY
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State | MO
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Zip | 64131-4030
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Country | US
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Telephone | 913-681-2398
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Fax | 913-681-2416
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-78567-111
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11005616
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019006501
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License Number State | MO
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