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General NPI Number Information
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NPI Number | 1962830828
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Entity Type | Individual
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Provider Name | SHARI GRADY PHD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 8016 STATE LINE RD STE 201
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3729
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Country | US
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Telephone | 913-549-9546
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Fax |
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Provider Business Mailing Address
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Address Line | 7470 HOUSTON ST
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City | SHAWNEE
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State | KS
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Zip | 66227-2433
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Country | US
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Telephone | 816-204-6635
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2013038448
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2013038448
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2013038448
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2013038448
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License Number State | MO
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