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General NPI Number Information
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NPI Number | 1154609568
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Entity Type | Individual
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Provider Name | JENNIFER WELSH MS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 11627 W 79TH ST
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City | LENEXA
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State | KS
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Zip | 66214-1488
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Country | US
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Telephone | 785-979-9251
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Fax | 785-865-5695
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Provider Business Mailing Address
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Address Line | PO BOX 14395
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City | LENEXA
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State | KS
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Zip | 66285-4395
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Country | US
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Telephone | 785-979-9251
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Fax | 785-865-5695
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | KS
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