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General NPI Number Information
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NPI Number | 1629998968
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Entity Type | Individual
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Provider Name | CALLA SUMMERS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 3200 NE 83RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64119-4458
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Country | US
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Telephone | 816-327-7955
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Fax |
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Provider Business Mailing Address
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Address Line | 17205 PENROSE LN
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City | LENEXA
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State | KS
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Zip | 66219-8121
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Country | US
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Telephone | 217-899-6887
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2026021547
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License Number State | MO
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