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General NPI Number Information
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NPI Number | 1891202339
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Entity Type | Individual
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Provider Name | CASSIE EMIKO HODGES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 706 N BURKARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-9303
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Country | US
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Telephone | 660-747-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1614
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Country | US
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Telephone | 816-478-4200
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14113406102
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2010020612
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 77738
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2017013542
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License Number State | MO
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