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General NPI Number Information
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NPI Number | 1205531118
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Entity Type | Individual
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Provider Name | BEN JACOB LAWING DPT
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Gender | Male
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1408 NW VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4555
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Country | US
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Telephone | 816-200-2462
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Fax | 816-817-5802
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Provider Business Mailing Address
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Address Line | 9115 N HOLLY ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-2854
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Country | US
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Telephone | 816-200-2462
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2018020432
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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