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General NPI Number Information
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NPI Number | 1467598540
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Entity Type | Organization
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Legal Business Name | HEAD START OF SHAWNEE MISSION, INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8155 SANTA FE DR
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City | OVERLAND PARK
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State | KS
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Zip | 66204-3607
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Country | US
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Telephone | 913-649-9714
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Fax | 913-649-7307
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Provider Business Mailing Address
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Address Line | 8155 SANTA FE DR
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City | OVERLAND PARK
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State | KS
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Zip | 66204-3607
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Country | US
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Telephone | 913-649-9714
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Fax | 913-649-7307
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Authorized Official
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Title or Position | HEALTH COORDINATOR
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Name | MS. VICKI HOWERTON
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Credential |
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Telephone | 913-649-9714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 33190-1
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License Number State | KS
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