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NPI 1225164098

NPI 1225164098 : ALISON JOY ADAMS PTA : OVERLAND PARK, KS

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General NPI Number Information
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    NPI Number           |    1225164098
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    Entity Type          |    Individual 
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    Provider Name        |    ALISON JOY ADAMS PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10300 W 103RD ST SUITE 300
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66214-2642
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    Country              |    US
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    Telephone            |    913-894-1910
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26312 E BLUE MILLS RD 
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    City                 |    SIBLEY
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    State                |    MO
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    Zip                  |    64088-9624
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    Country              |    US
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    Telephone            |    816-650-3005
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    116349
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    14-00812
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    License Number State |    KS
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