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General NPI Number Information
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NPI Number | 1639681554
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Entity Type | Organization
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Legal Business Name | MIDWEST NEUROEDUCATIONAL SERVICES
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 10100 W 87TH ST STE 306
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City | OVERLAND PARK
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State | KS
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Zip | 66212-4628
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Country | US
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Telephone | 913-214-1180
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Fax | 913-214-1181
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Provider Business Mailing Address
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Address Line | 10100 W 87TH ST STE 306
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City | OVERLAND PARK
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State | KS
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Zip | 66212-4628
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Country | US
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Telephone | 913-214-1180
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Fax | 913-214-1181
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SANDI ISAACSON
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Credential |
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Telephone | 913-214-1180
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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 |
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License Number State |
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