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General NPI Number Information
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NPI Number | 1629443221
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Entity Type | Individual
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Provider Name | MICHELLE DEVES
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Gender | Female
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 8909 PARALLEL PKWY
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City | KANSAS CITY
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State | KS
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Zip | 66112-1689
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Country | US
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Telephone | 913-596-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 985450 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-5450
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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