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General NPI Number Information
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NPI Number | 1104827781
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Entity Type | Organization
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Legal Business Name | LIBERTY EMERGENCY PHYSICIANS, INC.
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2525 GLENN HENDREN DR
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City | LIBERTY
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State | MO
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Zip | 64068-9625
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Country | US
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Telephone | 816-792-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411375
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City | KANSAS CITY
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State | MO
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Zip | 64141-1375
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Country | US
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Telephone | 816-781-9222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN J ROBB
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Credential | D.O.
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Telephone | 816-391-7597
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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 | MO
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