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General NPI Number Information
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NPI Number | 1891465894
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Entity Type | Individual
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Provider Name | MADELINE SALSMAN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 4000 W 68TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2103
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Country | US
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Telephone | 913-318-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 8743 W 121ST TER APT 901
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City | OVERLAND PARK
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State | KS
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Zip | 66213-1584
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Country | US
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Telephone | 913-221-9131
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-154543
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License Number State |
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