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General NPI Number Information
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NPI Number | 1417433541
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Entity Type | Individual
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Provider Name | ELEASE RICHTER OT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 8555 MONROVIA ST
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City | LENEXA
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State | KS
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Zip | 66215-2895
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Country | US
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Telephone | 913-213-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 13421 W 78TH PL
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City | LENEXA
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State | KS
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Zip | 66216-3098
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Country | US
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Telephone | 402-209-3365
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 | 17-03479
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License Number State | KS
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