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General NPI Number Information
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NPI Number | 1902758675
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Entity Type | Individual
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Provider Name | AMBER DELISA DAVIS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 9915 E 38TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64133-1274
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Country | US
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Telephone | 816-418-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 9024 E 85TH TER
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City | RAYTOWN
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State | MO
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Zip | 64138-5314
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Country | US
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Telephone | 816-269-6568
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12341
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2023021419
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License Number State | MO
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