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General NPI Number Information
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NPI Number | 1376862979
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Entity Type | Individual
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Provider Name | MAGEN COMBS PT, DPT, OTR/L, MOT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 200 N 16TH ST
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City | PARSONS
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State | KS
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Zip | 67357-3227
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Country | US
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Telephone | 620-820-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 108 C ST
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City | GOLDEN CITY
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State | MO
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Zip | 64748-8210
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2009017803
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2009021241
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-03641
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-06322
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License Number State | KS
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