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General NPI Number Information
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NPI Number | 1285861484
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Entity Type | Individual
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Provider Name | CINDY VICKERS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 3651 COLLEGE BLVD STE 110
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City | LEAWOOD
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State | KS
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Zip | 66211-1910
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Country | US
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Telephone | 913-253-8980
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Fax |
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Provider Business Mailing Address
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Address Line | 14036 W 114TH ST
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City | OLATHE
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State | KS
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Zip | 66215-4800
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Country | US
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Telephone | 913-269-2532
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT60083658
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License Number State | WA
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