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General NPI Number Information
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NPI Number | 1902770563
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Entity Type | Individual
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Provider Name | LISA RIGGLE
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 13340 HOLMES RD
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City | KANSAS CITY
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State | MO
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Zip | 64145-1437
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Country | US
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Telephone | 816-512-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 S 700 E STE 300
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-2514
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025044121
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License Number State | MO
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