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General NPI Number Information
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NPI Number | 1386431799
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Entity Type | Individual
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Provider Name | HERMINIA ANEL-PACE GLENN RN
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 4000 CAMBRIDGE ST LEVEL 1
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 4924 N CLEVELAND AVE
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City | KANSAS CITY
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State | MO
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Zip | 64119-3557
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Country | US
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Telephone | 641-223-0358
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2024000835
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License Number State | MO
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