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General NPI Number Information
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NPI Number | 1235784273
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Entity Type | Individual
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Provider Name | GRACEANN MICHELE-GIUNTA SANDRI APRN
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-8500
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Country | US
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Telephone | 913-588-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6024 BROWNRIDGE DR
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City | SHAWNEE
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State | KS
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Zip | 66218-8626
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Country | US
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Telephone | 913-515-5959
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 14-102691-022
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019037463
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-79017
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License Number State | KS
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