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General NPI Number Information
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NPI Number | 1760211403
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Entity Type | Individual
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Provider Name | MONICA H LODEN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 904 S CAMPBELL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65806-3182
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Country | US
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Telephone | 417-761-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844715
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City | KANSAS CITY
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State | MO
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Zip | 64184-4715
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Country | US
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Telephone | 417-761-5214
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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 | 2024032164
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2018036987
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License Number State | MO
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