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General NPI Number Information
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NPI Number | 1629736962
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Entity Type | Individual
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Provider Name | SARA PIPPIN ANDERSEN SLP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 4800 GRANDVIEW RD
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City | KANSAS CITY
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State | MO
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Zip | 64137-1937
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Country | US
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Telephone | 816-325-1353
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 NE SHADY LANE DR
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City | GLADSTONE
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State | MO
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Zip | 64119-1949
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Country | US
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Telephone | 816-416-9230
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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 | 2010023043
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License Number State | MO
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