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“Contractor” (Fredericktown, MO)

Location: Fredericktown, MO
Taxonomy: Contractor.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1790960482 — KYLE LEE BASTIE CPO
Practice Location Address:
1432 MADISON 212
FREDERICKTOWN MO
63645-8208
Practice Phone: 520-904-1079

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