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General NPI Number Information
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NPI Number | 1043889009
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Entity Type | Organization
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Legal Business Name | WOLCOTT FOODS LLC
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 7536 ARMSTRONG AVE
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City | KANSAS CITY
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State | KS
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Zip | 66112-2538
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Country | US
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Telephone | 913-283-7008
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Fax | 844-257-1775
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Provider Business Mailing Address
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Address Line | PO BOX 12157
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City | KANSAS CITY
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State | KS
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Zip | 66112-0157
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Country | US
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Telephone | 913-283-7008
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Fax | 844-257-1775
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VICTORIA MULLINS
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Credential |
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Telephone | 913-283-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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