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General NPI Number Information
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NPI Number | 1316813116
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Entity Type | Individual
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Provider Name | JACHELLE LASHANNON POWELL
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Gender |
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2677
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Country | US
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Telephone | 816-404-1587
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Fax |
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Provider Business Mailing Address
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Address Line | 911 MAIN ST UNIT 2012
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City | KANSAS CITY
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State | MO
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Zip | 64105-2371
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Country | US
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Telephone | 816-529-0600
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 2023041152
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License Number State | MO
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