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General NPI Number Information
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NPI Number | 1629618392
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Entity Type | Individual
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Provider Name | MORGAN MATHES
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Gender | Female
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1936 SUMMIT ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2110
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Country | US
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Telephone | 816-866-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 NW 38TH ST APT 303
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City | KANSAS CITY
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State | MO
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Zip | 64116-4557
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Country | US
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Telephone | 417-812-3081
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2024029392
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License Number State | MO
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