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General NPI Number Information
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NPI Number | 1982520904
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Entity Type | Individual
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Provider Name | SAMAR M WAHBA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 1010 CARONDELET DR STE 405
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City | KANSAS CITY
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State | MO
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Zip | 64114-4824
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Country | US
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Telephone | 816-941-0145
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Fax |
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Provider Business Mailing Address
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Address Line | 8009 W 113TH TER
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1812
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Country | US
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Telephone | 913-710-5393
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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 | 2024034681
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License Number State | MO
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