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General NPI Number Information
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NPI Number | 1336849553
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Entity Type | Individual
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Provider Name | PAIGE MOTWANI FNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 3521 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2337
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Country | US
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Telephone | 816-533-4398
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Fax |
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Provider Business Mailing Address
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Address Line | 309 CHESTNUT ST
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City | GREENWOOD
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State | MO
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Zip | 64034-9108
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Country | US
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Telephone | 816-785-3543
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023017038
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License Number State | MO
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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 | F02230649
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License Number State | MO
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