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General NPI Number Information
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NPI Number | 1114321312
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Entity Type | Organization
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Legal Business Name | MISSION OF HOPE CLINIC
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Dates
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Enumeration Date | 10/16/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 6303 EVANSTON AVE
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City | RAYTOWN
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State | MO
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Zip | 64133-4929
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Country | US
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Telephone | 816-356-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 6303 EVANSTON AVE
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City | RAYTOWN
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State | MO
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Zip | 64133-4929
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Country | US
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Telephone | 816-356-4325
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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 | JANET LOWE
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Credential | APRN
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Telephone | 816-356-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | MO
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