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General NPI Number Information
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NPI Number | 1699247981
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Entity Type | Individual
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Provider Name | LUCINDA PENNINGTON MS, MA
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Gender | Female
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Dates
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Enumeration Date | 12/26/2018
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 17101 E 203RD ST
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City | PECULIAR
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State | MO
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Zip | 64078
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Country | US
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Telephone | 816-255-5375
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Fax |
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Provider Business Mailing Address
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Address Line | 941 SELBY CT
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City | RAYMORE
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State | MO
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Zip | 64083-8291
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Country | US
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Telephone | 816-255-5375
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | MO
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