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General NPI Number Information
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NPI Number | 1467343210
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Entity Type | Individual
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Provider Name | SAMMY SIERRA DIAZ
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Gender |
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2100 NW BARRY RD
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City | KANSAS CITY
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State | MO
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Zip | 64154-1000
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Country | US
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Telephone | 816-521-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 20035 W 221ST ST
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City | SPRING HILL
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State | KS
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Zip | 66083-4087
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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