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NPI 1760802649

NPI 1760802649 : BRITTANY MEEK AT : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1760802649
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY MEEK AT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2014
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    Last Update Date     |    04/18/2014
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Provider Practice Location Address
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    Address Line         |    2214 N 59TH ST 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66104-2821
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    Country              |    US
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    Telephone            |    913-953-9461
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8929 PARALLEL PKWY SUITE 270
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66112-1689
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    24-00727
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    License Number State |    KS
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