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General NPI Number Information
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NPI Number | 1033650742
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Entity Type | Organization
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Legal Business Name | INSIGHT IND LP
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1001 W 43RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64111-4907
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Country | US
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Telephone | 816-412-0853
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Fax |
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Provider Business Mailing Address
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Address Line | 17100 E 52ND ST S
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6359
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Country | US
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Telephone | 816-423-1620
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALAN RHETT WARE
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Credential |
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Telephone | 816-423-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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