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General NPI Number Information
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NPI Number | 1265255111
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Entity Type | Individual
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Provider Name | VERONICA VABISHCHEVICH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 19701 W 65TH TER
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City | SHAWNEE
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State | KS
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Zip | 66218-9308
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Country | US
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Telephone | 913-270-0469
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Fax |
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Provider Business Mailing Address
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Address Line | 4420 ROANOKE PKWY APT 304
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City | KANSAS CITY
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State | MO
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Zip | 64111-7268
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Country | US
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Telephone | 315-941-5728
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-07754
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License Number State | KS
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