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General NPI Number Information
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NPI Number | 1417014010
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Entity Type | Individual
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Provider Name | JO JEANNE CALLAWAY MD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 5400 LACKMAN ROAD
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City | SHAWNEE
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State | KS
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Zip | 66217
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Country | US
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Telephone | 913-631-4625
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860527
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City | SHAWNEE
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State | KS
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Zip | 66286-0527
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Country | US
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Telephone | 913-631-4625
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4 13730
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R3822
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License Number State | MD
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