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General NPI Number Information
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NPI Number | 1821627738
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Entity Type | Individual
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Provider Name | KATHLEEN STANTON QUIRK MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4400 BROADWAY BLVD STE 302
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City | KANSAS CITY
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State | MO
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Zip | 64111-3342
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Country | US
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Telephone | 816-931-9344
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Fax | 816-931-4168
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Provider Business Mailing Address
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Address Line | 120 KINGSTON ST PH 2404
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City | BOSTON
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State | MA
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Zip | 02111-2264
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Country | US
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Telephone | 816-916-1838
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2024023401
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License Number State | MO
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