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General NPI Number Information
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NPI Number | 1427937291
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Entity Type | Organization
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Legal Business Name | COMPLETE CHOICE SUPPORT, LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 800 E 101ST TER STE 350
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City | KANSAS CITY
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State | MO
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Zip | 64131-5310
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Country | US
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Telephone | 913-242-1208
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Fax | 913-374-4600
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Provider Business Mailing Address
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Address Line | 15745 DEARBORN ST
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City | OVERLAND PARK
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State | KS
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Zip | 66223-3415
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Country | US
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Telephone | 913-709-7008
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLIVER SAIMON OLOTU
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Credential | RN
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Telephone | 913-709-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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