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General NPI Number Information
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NPI Number | 1780786095
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Entity Type | Individual
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Provider Name | LISA M VANSAGHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 6700 W 115TH ST #3519
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1553
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Country | US
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Telephone | 913-708-6144
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Fax | 913-708-7607
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Provider Business Mailing Address
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Address Line | 6700 W 115TH ST #3519
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1553
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Country | US
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Telephone | 913-708-6144
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Fax | 913-708-7607
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04-30109
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 04-30109
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License Number State | KS
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