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General NPI Number Information
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NPI Number | 1710245766
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Entity Type | Individual
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Provider Name | SUZANNE MARIE SANDHU BSN, MSN, APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 290 NE TUDOR RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5696
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Country | US
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Telephone | 816-524-5522
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Fax | 816-875-2597
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Provider Business Mailing Address
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Address Line | 5101 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1614
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Country | US
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Telephone | 913-721-3387
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 53-80123-061
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-80123-061
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2012011745
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2012011745
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License Number State | MO
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