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NPI 1790896116

NPI 1790896116 : PATRICK J. EGGER PA : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1790896116
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK J. EGGER PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    06/11/2025
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Provider Practice Location Address
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    Address Line         |    4330 WORNALL RD STE 50 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64111-3201
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    Country              |    US
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    Telephone            |    816-931-3312
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    Fax                  |    816-531-9862
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7411931 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60674-1931
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    Country              |    US
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    Telephone            |    816-931-3312
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    Fax                  |    816-531-9862
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    2023013710
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    53-82150-062
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    License Number State |    KS
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Taxonomy #3
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    15-00759
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    License Number State |    KS
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Taxonomy #4
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    2023013710
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    License Number State |    MO
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