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General NPI Number Information
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NPI Number | 1881811602
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Entity Type | Individual
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Provider Name | AMANDA G WAIT D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 2737 NE MCBAINE DR
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City | LEES SUMMIT
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State | MO
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Zip | 64064-7880
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Country | US
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Telephone | 816-251-5780
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Fax | 816-251-5781
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Provider Business Mailing Address
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Address Line | 901 E. 104TH ST MAILSTOP 400N
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City | KANSAS CITY
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State | MO
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Zip | 64131-9712
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Country | US
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Telephone | 816-502-7104
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Fax | 816-932-9670
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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 | OS10917
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License Number State | FL
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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 | 2011016772
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License Number State | MO
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