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General NPI Number Information
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NPI Number | 1720142565
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Entity Type | Organization
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Legal Business Name | SHAWNEE MISSION MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 9100 W 74TH ST
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City | MERRIAM
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State | KS
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Zip | 66204-4004
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Country | US
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Telephone | 913-676-2000
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Fax | 913-676-7571
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Provider Business Mailing Address
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Address Line | 9100 W 74TH ST
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City | MERRIAM
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State | KS
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Zip | 66204-4004
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Country | US
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Telephone | 913-676-2000
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Fax | 913-676-7571
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Authorized Official
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Title or Position | CFO
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Name | STEPHANIE ROSENTRETER
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Credential |
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Telephone | 620-249-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | H046004
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License Number State | KS
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