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General NPI Number Information
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NPI Number | 1194317032
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Entity Type | Organization
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Legal Business Name | KANSAS CITY RELATIONSHIP INSTITUTE
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 4710 S CEDAR CREST CT STE 200
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6993
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Country | US
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Telephone | 816-537-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 4710 S CEDAR CREST CT STE 200
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6993
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Country | US
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Telephone | 816-785-3187
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JARED ANDERSON
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Credential | PHD
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Telephone | 816-600-0097
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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 |
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License Number State |
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