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General NPI Number Information
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NPI Number | 1902228679
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Entity Type | Individual
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Provider Name | MARY POWELL ARNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 11217 LAKEVIEW AVE
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City | LENEXA
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State | KS
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Zip | 66219-1399
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Country | US
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Telephone | 913-322-7401
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Fax | 913-322-7410
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Provider Business Mailing Address
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Address Line | 11217 LAKEVIEW AVE
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City | KANSAS CITY
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State | KS
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Zip | 64131-4731
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Country | US
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Telephone | 913-332-7401
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Fax | 913-322-7410
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2014000954
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76412-031
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 76413
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License Number State | KS
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