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General NPI Number Information
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NPI Number | 1962497016
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Entity Type | Individual
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Provider Name | KATHLEEN A ALM MD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 17221 E 23RD ST S SUITE 100
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1803
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Country | US
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Telephone | 816-350-0005
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Fax | 816-350-0015
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Provider Business Mailing Address
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Address Line | 17221 E 23RD ST S SUITE 100
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1803
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Country | US
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Telephone | 816-350-0005
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Fax | 816-350-0015
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD R3C34
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License Number State | MO
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