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General NPI Number Information
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NPI Number | 1578423513
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Entity Type | Individual
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Provider Name | SHANNON STARR
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 7501 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66204-2927
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Country | US
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Telephone | 816-808-1856
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Fax |
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Provider Business Mailing Address
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Address Line | 7620 WINDSOR ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-4022
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Country | US
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Telephone | 816-808-1856
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025013452
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License Number State | MO
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