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General NPI Number Information
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NPI Number | 1437765450
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Entity Type | Individual
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Provider Name | JORDANA D'NEIL MANCINI SLP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1000 E 68TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64131
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Country | US
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Telephone | 816-846-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 3371 SW SENSATION DR APT 1031
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City | LEES SUMMIT
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State | MO
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Zip | 64081-7811
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Country | US
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Telephone | 720-979-3914
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2020030329
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License Number State | MO
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