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General NPI Number Information
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NPI Number | 1649926288
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Entity Type | Individual
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Provider Name | BRITNI RENEE NELSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 6801 E 117TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64134-3701
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Country | US
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Telephone | 816-554-5594
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Fax |
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Provider Business Mailing Address
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Address Line | 131 SW MCCLENDON DR APT 301
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City | LEES SUMMIT
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State | MO
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Zip | 64081-1744
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Country | US
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Telephone | 816-877-3786
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2024016772
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License Number State | MO
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