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General NPI Number Information
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NPI Number | 1376899237
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Entity Type | Individual
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Provider Name | ALYSSA ANNE MILLIGAN COOPER O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2401 KENTUCKY AVE STE A
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City | PLATTE CITY
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State | MO
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Zip | 64079-7639
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Country | US
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Telephone | 816-431-2202
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Fax | 816-431-2202
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Provider Business Mailing Address
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Address Line | 11261 NALL AVE SUITE 192
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City | LEAWOOD
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State | KS
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Zip | 66211-1669
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Country | US
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Telephone | 913-261-2020
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Fax | 913-671-3225
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2016002504
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1922
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License Number State | KS
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