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General NPI Number Information
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NPI Number | 1376278648
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Entity Type | Organization
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Legal Business Name | DR FUNTIMES MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 7050 W 107TH ST STE 10
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1921
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Country | US
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Telephone | 913-205-2677
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 NE LAKEWOOD WAY STE 130
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1995
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Country | US
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Telephone | 913-205-2677
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. JENNIFER ANN BROWN
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Credential | DNP, APRN
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Telephone | 913-444-2535
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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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