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General NPI Number Information
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NPI Number | 1861457681
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Entity Type | Individual
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Provider Name | GERALD WOOLSEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | UMKC SCHOOL OF DENTISTRY 650 E 25TH STREET
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City | KANSAS CITY
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State | MO
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Zip | 64108
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Country | US
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Telephone | 816-235-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 6296 KENNETT PLACE
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City | MISSION
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State | KS
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Zip | 66202
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Country | US
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Telephone | 816-914-7387
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 015569
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License Number State | MO
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