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General NPI Number Information
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NPI Number | 1356321947
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY ASSOCIATES OF KANSAS CITY PA
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8900 STATE LINE RD STE 380
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City | LEAWOOD
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State | KS
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Zip | 66206
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Country | US
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Telephone | 913-385-7252
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Fax | 913-385-2412
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Provider Business Mailing Address
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Address Line | 8900 STATE LINE RD STE 380
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City | LEAWOOD
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State | KS
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Zip | 66206
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Country | US
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Telephone | 913-385-7252
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Fax | 913-385-2412
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERMAN WARD COLE
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Credential | MD
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Telephone | 913-385-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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