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General NPI Number Information
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NPI Number | 1427231059
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Entity Type | Individual
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Provider Name | MARIA ANNE LITTLE M.S.N., C.P.N.P
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Gender | Female
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 3101 BROADWAY ST ORANGE CLINIC, 3RD FLOOR
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City | KANSAS CITY
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State | MO
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Zip | 64111-2659
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Country | US
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Telephone | 816-960-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 5934 OAK ST
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City | KANSAS CITY
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State | MO
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Zip | 64113-2215
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Country | US
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Telephone | 816-500-4506
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 108515
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License Number State | MO
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