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General NPI Number Information
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NPI Number | 1356345805
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Entity Type | Individual
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Provider Name | DIANE A GAUNT ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | LIFESTANCE HEALTH 8400 W 110TH STREET SUITE 250
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2461
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Country | US
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Telephone | 913-210-2019
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Fax | 913-327-7054
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Provider Business Mailing Address
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Address Line | 8400 W 110TH ST STE 250
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2461
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Country | US
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Telephone | 913-210-2019
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Fax | 316-686-6764
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 74065
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License Number State | KS
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