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General NPI Number Information
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NPI Number | 1487169165
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Entity Type | Individual
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Provider Name | CAROL ANN DOSKEY
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Gender | Female
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Dates
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Enumeration Date | 12/04/2017
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 2900 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3235
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Country | US
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Telephone | 816-691-5101
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Fax | 816-346-7377
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Provider Business Mailing Address
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Address Line | 2900 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3235
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Country | US
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Telephone | 816-518-2116
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 77964
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2018002781
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License Number State | MO
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