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General NPI Number Information
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NPI Number | 1760222582
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Entity Type | Organization
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Legal Business Name | STEVEN RAINS NP LLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 8016 STATE LINE RD STE 205
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3713
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Country | US
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Telephone | 913-382-8597
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Fax | 913-490-1064
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Provider Business Mailing Address
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Address Line | 8016 STATE LINE RD STE 205
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3713
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Country | US
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Telephone | 913-382-8597
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Fax | 913-490-1064
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSE PRA
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Name | MR. STEVEN MATTHEW RAINS
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Credential | PMHNP-BC
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Telephone | 816-309-9939
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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 |
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License Number State |
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