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General NPI Number Information
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NPI Number | 1639967557
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Entity Type | Individual
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Provider Name | REBECCA KAY MCDOUGAL
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2800 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3220
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Country | US
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Telephone | 816-691-1795
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Fax | 816-346-7795
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Provider Business Mailing Address
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Address Line | 605 NE 41ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64116-2605
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Country | US
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Telephone | 816-803-8535
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 002585
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License Number State | MO
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