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General NPI Number Information
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NPI Number | 1730817065
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Entity Type | Individual
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Provider Name | TAYLOR ANN DINKEL MS, LMLP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 16979 W 94TH ST
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City | LENEXA
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State | KS
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Zip | 66219-1939
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Country | US
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Telephone | 785-639-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 16979 W 94TH ST
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City | LENEXA
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State | KS
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Zip | 66219-1939
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Country | US
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Telephone | 785-639-0532
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 03369
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License Number State | KS
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