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General NPI Number Information
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NPI Number | 1487161428
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Entity Type | Individual
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Provider Name | MS. SARAH CUSTER
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Gender | Female
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 8340 MISSION RD STE B4
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66206-1362
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Country | US
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Telephone | 913-948-4223
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Fax | 816-222-0679
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Provider Business Mailing Address
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Address Line | 8340 MISSION RD STE B4
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66206-1362
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Country | US
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Telephone | 913-948-4223
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Fax | 816-222-0679
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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 | 3311
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License Number State | KS
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