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General NPI Number Information
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NPI Number | 1215916143
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Entity Type | Individual
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Provider Name | STEVEN DEANE SEGRAVES MD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 8900 STATE LINE RD STE 380
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City | LEAWOOD
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State | KS
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Zip | 66206
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Country | US
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Telephone | 913-385-7252
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Fax | 913-385-2412
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Provider Business Mailing Address
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Address Line | 8900 STATE LINE RD STE 380
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City | LEAWOOD
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State | KS
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Zip | 66206
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Country | US
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Telephone | 913-385-7252
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Fax | 913-385-2412
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0422732
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R3K75
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 0422732
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | R3K75
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License Number State | MO
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