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NPI 1376135012

NPI 1376135012 : PIECES PEACES : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1376135012
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    Entity Type          |    Organization 
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    Legal Business Name  |    PIECES PEACES 
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Dates
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    Enumeration Date     |    02/04/2021
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    Last Update Date     |    10/09/2024
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Provider Practice Location Address
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    Address Line         |    2509 BROOKLYN AVE 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64127-3824
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    Country              |    US
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    Telephone            |    816-745-6591
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    Fax                  |    816-442-7216
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Provider Business Mailing Address
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    Address Line         |    2918 WOODLAND AVE 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64109-1634
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    Country              |    US
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    Telephone            |    816-745-6591
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    Fax                  |    816-442-7216
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. SHEMIA  THOMAS 
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    Credential           |    MBA, MPA, CADC
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    Telephone            |    816-745-6591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    177F00000X
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    Taxonomy Name        |    Lodging Provider
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    License Number       |    
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    License Number State |    
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