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General NPI Number Information
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NPI Number | 1861609141
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Entity Type | Organization
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Legal Business Name | IAP INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2700 CLAY EDWARDS DR SUITE 360
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3251
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Country | US
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Telephone | 816-471-2414
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Fax | 816-471-3763
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Provider Business Mailing Address
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Address Line | 605 WHITE OAK LANE
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City | GLADSTONE
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State | MO
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Zip | 64116-4606
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Country | US
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Telephone | 816-454-4041
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRINA ANCA PUSCARIU
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Credential | M.D.
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Telephone | 816-435-9259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 2000170155
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License Number State | MO
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