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General NPI Number Information
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NPI Number | 1497570642
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Entity Type | Organization
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Legal Business Name | WUNDER INTEGRATIVE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 135 OAK ST
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City | BONNER SPRINGS
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State | KS
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Zip | 66012-1026
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Country | US
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Telephone | 816-667-6597
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Fax |
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Provider Business Mailing Address
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Address Line | 4049 PENNSYLVANIA AVE STE 203
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City | KANSAS CITY
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State | MO
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Zip | 64111-3022
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Country | US
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Telephone | 816-667-6587
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Fax | 816-379-3754
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JESSICA WUNDER
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Credential | PMHNP
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Telephone | 402-216-8249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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