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General NPI Number Information
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NPI Number | 1801435052
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Entity Type | Individual
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Provider Name | REBECCA ELIZABETH HOLT APRN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 20 NE SAINT LUKES BLVD STE 330
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City | LEES SUMMIT
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State | MO
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Zip | 64086-6001
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Country | US
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Telephone | 816-347-4420
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Fax | 816-347-4421
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Provider Business Mailing Address
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Address Line | 901 E 104TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64131-4517
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Country | US
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Telephone | 816-932-5678
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Fax | 816-932-7957
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019023508
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License Number State | MO
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