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General NPI Number Information
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NPI Number | 1881272839
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Entity Type | Individual
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Provider Name | SYDNEY EDMISTEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 9119 W 74TH ST STE 300
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-2229
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Country | US
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Telephone | 913-677-3113
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Fax | 913-677-4514
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Provider Business Mailing Address
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Address Line | 6240 OAK GROVE RD
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City | KANSAS CITY
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State | KS
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Zip | 66106-5430
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Country | US
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Telephone | 913-991-4998
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 04-51735
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License Number State | KS
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