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General NPI Number Information
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NPI Number | 1386388916
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE ARTS THERAPY KC LLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 5505 FOXRIDGE DR
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City | MISSION
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State | KS
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Zip | 66202-1556
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Country | US
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Telephone | 913-318-4318
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Fax |
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Provider Business Mailing Address
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Address Line | 7919 W 54TH TER
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City | MISSION
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State | KS
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Zip | 66202-1135
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Country | US
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Telephone | 816-695-6838
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA VERING
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Credential |
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Telephone | 913-318-4318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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