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General NPI Number Information
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NPI Number | 1750341335
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Entity Type | Individual
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Provider Name | SANDIP SEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 601 S 169 HWY
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City | SMITHVILLE
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State | MO
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Zip | 64089-9317
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Country | US
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Telephone | 816-461-8288
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Fax | 816-461-6586
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Provider Business Mailing Address
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Address Line | 13711 W 53RD ST
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City | SHAWNEE
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State | KS
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Zip | 66216-5170
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R3F11
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License Number State | MO
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