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General NPI Number Information
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NPI Number | 1134720774
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Entity Type | Individual
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Provider Name | GABRIELLA HOPE BOEGER MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 12351 W 96TH TER STE 108
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City | LENEXA
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State | KS
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Zip | 66215-4400
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Country | US
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Telephone | 913-491-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 717 BROADWAY BLVD APT 603
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City | KANSAS CITY
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State | MO
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Zip | 64105-2096
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Country | US
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Telephone | 913-634-0777
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 03211
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License Number State | KS
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