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General NPI Number Information
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NPI Number | 1083424485
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Entity Type | Organization
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Legal Business Name | FAMILY RESOURCE CENTER OF CASS COUNTY
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 6909 E 163RD ST
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City | BELTON
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State | MO
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Zip | 64012-4612
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Country | US
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Telephone | 816-425-4169
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 604
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City | BELTON
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State | MO
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Zip | 64012-0604
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Country | US
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Telephone | 816-425-4169
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS SHAY JEFFERSON
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Credential |
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Telephone | 816-694-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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