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General NPI Number Information
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NPI Number | 1801765169
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Entity Type | Individual
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Provider Name | KATELYN SHAW
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1800 WALNUT ST APT 808
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City | KANSAS CITY
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State | MO
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Zip | 64108-2781
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Country | US
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Telephone | 620-660-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WALNUT ST APT 808
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City | KANSAS CITY
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State | MO
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Zip | 64108-2781
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Country | US
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Telephone |
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Fax |
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 2015023147
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License Number State | MO
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