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General NPI Number Information
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NPI Number | 1669750568
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Entity Type | Individual
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Provider Name | MICHELL ANN PEPPERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1634 E 63RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64110-3502
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Country | US
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Telephone | 816-381-5648
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Fax | 816-281-1871
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Provider Business Mailing Address
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Address Line | PO BOX 740019
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City | ATLANTA
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State | GA
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Zip | 30374-0019
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Country | US
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Telephone | 312-733-9730
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2012037431
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License Number State | MO
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