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General NPI Number Information
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NPI Number | 1245764547
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Entity Type | Individual
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Provider Name | YMY CHIEU
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 20 NE SAINT LUKES BLVD STE 200
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City | LEES SUMMIT
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State | MO
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Zip | 64086-6001
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Country | US
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Telephone | 816-347-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E. 104TH ST. MAILSTOP 400N
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City | KANSAS CITY
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State | MO
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Zip | 64131
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Country | US
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Telephone | 816-502-7104
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Fax | 816-932-9670
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 77616
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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 | 2017010993
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License Number State | MO
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