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General NPI Number Information
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NPI Number | 1609731116
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH MUNDEN RN
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Gender | Male
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 13344 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2804
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Country | US
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Telephone | 913-948-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 12224 CONNELL DR
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1673
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Country | US
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Telephone |
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 13111715121
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License Number State | KS
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