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General NPI Number Information
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NPI Number | 1467864629
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Entity Type | Individual
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Provider Name | AMY MICHELLE PHILLIPS M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 888 HAINES STE 230
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City | LIBERTY
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State | MO
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Zip | 64068-1008
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Country | US
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Telephone | 816-797-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 315 E 39TH ST APT 127
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City | KANSAS CITY
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State | MO
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Zip | 64111-1530
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Country | US
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Telephone | 785-324-1090
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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 | 2020028775
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License Number State | MO
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