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General NPI Number Information
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NPI Number | 1245208537
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Entity Type | Individual
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Provider Name | AVA M FERREIRA APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 17700 E 39TH ST S
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6725
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Country | US
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Telephone | 816-393-0250
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Fax |
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Provider Business Mailing Address
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Address Line | 19577 W 87TH CIR
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City | LENEXA
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State | KS
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Zip | 66220-2561
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Country | US
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Telephone | 913-541-8215
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 44813
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License Number State | KS
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