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General NPI Number Information
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NPI Number | 1144604323
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Entity Type | Individual
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Provider Name | TINA MARIE NOONE APRN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 11901 JESSICA LN
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City | RAYTOWN
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State | MO
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Zip | 64138-2639
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Country | US
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Telephone | 855-874-7394
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Fax |
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Provider Business Mailing Address
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Address Line | 561 NW STATE ROUTE 131
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City | HOLDEN
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State | MO
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Zip | 64040-9469
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Country | US
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Telephone | 816-826-6005
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2015024667
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 77224
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC002532
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License Number State | MD
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