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General NPI Number Information
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NPI Number | 1346340452
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Entity Type | Individual
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Provider Name | LISA L PIOLI D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11301 ASH ST
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City | LEAWOOD
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State | KS
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Zip | 66211-1643
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Country | US
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Telephone | 913-338-4515
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Fax | 913-338-4606
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Provider Business Mailing Address
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Address Line | PO BOX 412554
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City | KANSAS CITY
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State | MO
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Zip | 64141-2554
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Country | US
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Telephone | 913-338-4515
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Fax | 913-338-4606
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 05-22563
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | R5G67
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License Number State | MO
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