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General NPI Number Information
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NPI Number | 1073565149
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Entity Type | Individual
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Provider Name | CHAD E HELMER PT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 1512 NE 96TH ST STE A
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City | LIBERTY
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State | MO
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Zip | 64068-7174
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Country | US
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Telephone | 816-792-0775
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Fax | 816-792-0776
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Provider Business Mailing Address
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Address Line | 17134 BEL RAY PL
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City | BELTON
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State | MO
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Zip | 64012-5331
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Country | US
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Telephone | 816-226-4011
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Fax | 816-524-6115
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 112594
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License Number State | MO
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