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General NPI Number Information
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NPI Number | 1689440083
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Entity Type | Individual
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Provider Name | NANCY DIRKS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4429 S RIVER BLVD STE D
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4659
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Country | US
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Telephone | 888-410-5230
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Fax | 573-271-5108
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Provider Business Mailing Address
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Address Line | 4429 S RIVER BLVD STE D
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4659
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 82684
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License Number State | KS
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