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General NPI Number Information
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NPI Number | 1992664023
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Entity Type | Individual
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Provider Name | ANDREW GOETZ
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Gender | Male
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 10034 W 151ST ST
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City | OVERLAND PARK
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State | KS
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Zip | 66221-9326
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Country | US
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Telephone | 913-273-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 18941 W 118TH ST
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City | OLATHE
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State | KS
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Zip | 66061-6578
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-04297
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License Number State | KS
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