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General NPI Number Information
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NPI Number | 1003601881
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Entity Type | Organization
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Legal Business Name | EMPOWERED HEALTH, LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1451 HIGH ST STE 213
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City | WASHINGTON
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State | MO
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Zip | 63090-6447
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Country | US
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Telephone | 636-271-5626
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Fax | 636-206-2886
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Provider Business Mailing Address
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Address Line | 212 C C CAMP RD
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City | UNION
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State | MO
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Zip | 63084-1271
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Country | US
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Telephone | 636-744-4010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARISE N MEYER
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Credential | CNM, APRN
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Telephone | 636-744-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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