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General NPI Number Information
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NPI Number | 1457591372
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Entity Type | Individual
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Provider Name | SUSAN HALE FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 17795 W 106TH ST STE 200
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City | OLATHE
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State | KS
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Zip | 66061-3155
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Country | US
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Telephone | 913-359-3880
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Fax | 913-276-1339
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Provider Business Mailing Address
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Address Line | 17795 W 106TH ST STE 200
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City | OLATHE
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State | KS
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Zip | 66061-3155
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Country | US
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Telephone | 913-359-3880
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Fax | 913-276-1339
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2006025799
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-76859-032
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License Number State | KS
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