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General NPI Number Information
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NPI Number | 1083772172
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Entity Type | Organization
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Legal Business Name | GREGORY H. MEARS, DO
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 ARCO PL SUITE 333
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3398
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Country | US
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Telephone | 620-331-5440
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Fax | 620-331-3791
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Provider Business Mailing Address
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Address Line | 200 ARCO PL SUITE 333
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City | INDEPENDENCE
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State | KS
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Zip | 67301-3398
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Country | US
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Telephone | 620-331-5440
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Fax | 620-331-3791
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY HOLT MEARS
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Credential | D.O.
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Telephone | 620-331-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-21870
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License Number State | KS
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