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General NPI Number Information
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NPI Number | 1750408175
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Entity Type | Individual
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Provider Name | ALFREDO MUNOZ ED.S
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 2110 W 75TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3503
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Country | US
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Telephone | 816-668-3967
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 WEST 92ND TERRACE
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City | OVERLAND PARK
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State | KS
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Zip | 66207
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Country | US
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Telephone | 816-668-3967
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 015
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License Number State | KS
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