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General NPI Number Information
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NPI Number | 1831415561
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Entity Type | Individual
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Provider Name | JULIA CICCOCIOPPI SLATER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2000 OLATHE BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 CAMBRIDGE STREET MAILSTOP 3015
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City | KANSAS CITY
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State | KS
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Zip | 66160
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35136570
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License Number State | OH
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 04-48086
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License Number State | KS
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