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General NPI Number Information
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NPI Number | 1972955789
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Entity Type | Individual
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Provider Name | STEPHANIE GARVER MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 2401 GILLHAM RD NUTRITION SERVICES DEPARTMENT
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City | KANSAS CITY
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State | MO
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Zip | 64108-4619
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Country | US
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Telephone | 816-234-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 CENTRAL ST APT 412
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City | KANSAS CITY
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State | MO
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Zip | 64108-2067
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Country | US
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Telephone | 913-568-8820
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 2015002798
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 2002
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License Number State | KS
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