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General NPI Number Information
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NPI Number | 1790673135
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Entity Type | Individual
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Provider Name | CONNOR MCDERMOTT DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1800 WYANDOTTE ST STE 201
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City | KANSAS CITY
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State | MO
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Zip | 64108-1953
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Country | US
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Telephone | 816-605-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 22120 MIDLAND DR STE 1
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City | SHAWNEE
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State | KS
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Zip | 66226-3554
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Country | US
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Telephone | 913-745-4064
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Fax | 913-745-4352
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2025023832
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License Number State | MO
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