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NPI 1720944846

NPI 1720944846 : ANDRES RICO : OLATHE, KS

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General NPI Number Information
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    NPI Number           |    1720944846
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    Entity Type          |    Individual 
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    Provider Name        |    ANDRES RICO
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    Gender               |     
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Dates
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    Enumeration Date     |    01/02/2026
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    Last Update Date     |    01/02/2026
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Provider Practice Location Address
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    Address Line         |    1125 W SPRUCE ST 
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    City                 |    OLATHE
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    State                |    KS
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    Zip                  |    66061-3123
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    Country              |    US
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    Telephone            |    913-826-4200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6000 LAMAR AVE STE 130 
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    City                 |    MISSION
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    State                |    KS
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    Zip                  |    66202-3234
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    14182
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    License Number State |    KS
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