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General NPI Number Information
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NPI Number | 1629497177
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Entity Type | Individual
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Provider Name | AMANDA ZANGRILLO PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 5520 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1630
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Country | US
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Telephone | 913-696-8000
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Fax | 816-302-9939
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Provider Business Mailing Address
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Address Line | 2401 GILLHAM RD
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City | KANSAS CITY
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State | MO
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Zip | 64108-4619
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Country | US
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Telephone | 816-234-3000
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Fax | 816-302-9939
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 854
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2025010400
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 03406
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License Number State | KS
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