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General NPI Number Information
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NPI Number | 1912729294
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Entity Type | Organization
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Legal Business Name | OPH, LLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 21277 W 153RD ST
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City | OLATHE
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State | KS
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Zip | 66061-5424
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Country | US
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Telephone | 913-890-7468
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Fax | 913-529-2900
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Provider Business Mailing Address
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Address Line | 21350 W 153RD ST
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City | OLATHE
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State | KS
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Zip | 66061-5413
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Country | US
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Telephone | 913-322-4900
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | NIKKI GENTRY
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Credential |
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Telephone | 913-322-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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