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General NPI Number Information
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NPI Number | 1437850377
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Entity Type | Individual
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Provider Name | STEVEN RAINS NP LLC
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Gender | Male
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 8016 STATE LINE RD STE 205
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3713
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Country | US
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Telephone | 913-284-3575
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Fax |
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Provider Business Mailing Address
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Address Line | 13851 W 63RD ST STE 123
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City | SHAWNEE
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State | KS
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Zip | 66216-3800
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-82036-122
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License Number State | KS
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