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General NPI Number Information
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NPI Number | 1679251219
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Entity Type | Organization
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Legal Business Name | A MEANINGFUL LIFE, LLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 2511 WALNUT AVE
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City | JOPLIN
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State | MO
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Zip | 64804-1468
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Country | US
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Telephone | 417-434-3504
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 WALNUT AVE
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City | JOPLIN
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State | MO
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Zip | 64804-1468
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Country | US
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Telephone | 417-434-3504
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Fax |
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Authorized Official
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Title or Position | OWNER/EXEC DIRECTOR
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Name | KANDICE LAGASSE
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Credential |
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Telephone | 417-434-3504
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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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