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General NPI Number Information
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NPI Number | 1720873490
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Entity Type | Individual
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Provider Name | JULIA ANN MCCRACKEN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6331 W 110TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1509
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Country | US
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Telephone | 913-696-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 S SANTA FE RD
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City | INDEPENDENCE
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State | MO
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Zip | 64052-3225
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2025009888
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025009888
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025009888
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2025009888
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License Number State | MO
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