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NPI 1487981429

NPI 1487981429 : PATRICIA JAQUITH DRAPER LCSW : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1487981429
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA JAQUITH DRAPER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/12/2009
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    Last Update Date     |    05/27/2014
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Provider Practice Location Address
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    Address Line         |    901 NE INDEPENDENCE AVE 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64086-5544
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    Country              |    US
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    Telephone            |    816-554-5597
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5884 W 58TH ST APT 301 
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    City                 |    MISSION
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    State                |    KS
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    Zip                  |    66202-2706
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    Country              |    US
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    Telephone            |    314-503-6084
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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