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General NPI Number Information
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NPI Number | 1801075841
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Entity Type | Organization
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Legal Business Name | MIDWEST TRAUMA TREATMENT CENTER LLC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 5750 W 95TH ST SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66207-2920
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Country | US
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Telephone | 816-868-3819
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Fax | 816-400-1887
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Provider Business Mailing Address
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Address Line | 5750 W 95TH ST STE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66207-2920
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Country | US
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Telephone | 816-868-3819
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Fax | 816-400-1887
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Authorized Official
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Title or Position | OWNER
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Name | LISA COLEMAN
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Credential | LSC&W
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Telephone | 816-868-3819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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