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General NPI Number Information
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NPI Number | 1164648952
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Entity Type | Individual
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Provider Name | CHRISTI J LEDO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 4400 BROADWAY BLVD STE 520
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City | KANSAS CITY
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State | MO
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Zip | 64111-3342
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Country | US
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Telephone | 816-960-7601
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Fax | 816-960-7699
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Provider Business Mailing Address
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Address Line | 12330 METCALF AVE STE 420
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1307
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Country | US
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Telephone | 816-960-7690
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Fax | 816-960-7691
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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 | 144021
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License Number State | MO
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