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General NPI Number Information
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NPI Number | 1740809755
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Entity Type | Individual
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Provider Name | PRISCILLA E ATU-TETUH
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 300 W 19TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64108-2026
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Country | US
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Telephone | 816-404-6402
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 19TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64108-2026
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Country | US
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Telephone | 816-404-6402
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 236374
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-79344-042
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License Number State | KS
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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 | 2019060672
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License Number State | MO
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