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General NPI Number Information
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NPI Number | 1467009993
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Entity Type | Individual
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Provider Name | ROSE HATTING
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 2901 TROOST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64109-1538
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Country | US
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Telephone | 816-418-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 S JACKSON DR APT 105
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1976
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Country | US
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Telephone | 402-779-1823
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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 | 2019019647
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License Number State | MO
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