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General NPI Number Information
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NPI Number | 1053105890
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Entity Type | Organization
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Legal Business Name | MISSOURI EMERGENCY MEDICINE LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2800 E ROCK HAVEN RD
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City | HARRISONVILLE
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State | MO
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Zip | 64701-4411
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Country | US
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Telephone | 816-380-3474
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 W 112TH ST
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City | LEAWOOD
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State | KS
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Zip | 66211-1710
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Country | US
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Telephone | 314-740-4940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER JAMES LAMPE
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Credential | MD
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Telephone | 314-740-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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