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General NPI Number Information
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NPI Number | 1447051222
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Entity Type | Individual
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Provider Name | ANNA DAVIS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2800 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3220
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Country | US
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Telephone | 816-691-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 W 136TH TER APT 305
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City | OVERLAND PARK
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State | KS
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Zip | 66223-9506
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Country | US
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Telephone | 660-537-8103
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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 | 2023025967
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License Number State | MO
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