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General NPI Number Information
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NPI Number | 1710203187
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Entity Type | Organization
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Legal Business Name | PAYNE, HOGAN & ASSOCIATES
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Dates
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Enumeration Date | 04/10/2010
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Last Update Date | 04/10/2010
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Provider Practice Location Address
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Address Line | 753 STATE AVE SUITE 660
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City | KANSAS CITY
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State | KS
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Zip | 66101-2516
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Country | US
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Telephone | 913-244-8443
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Fax |
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Provider Business Mailing Address
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Address Line | 753 STATE AVE SUITE 660
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City | KANSAS CITY
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State | KS
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Zip | 66101-2516
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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 | CO-OWNER
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Name | MS. JACQUELINE HOGAN
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Credential |
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Telephone | 913-244-8443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2264
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License Number State | KS
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