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General NPI Number Information
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NPI Number | 1063622058
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Entity Type | Individual
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Provider Name | CLIFFORD VOYD WEITH II DO
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2800 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3220
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Country | US
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Telephone | 816-346-7220
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Fax |
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Provider Business Mailing Address
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Address Line | 6727 NW MONTICELLO TER
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City | PARKVILLE
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State | MO
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Zip | 64152-5706
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Country | US
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Telephone | 816-679-7275
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2008011546
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License Number State | MO
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