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General NPI Number Information
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NPI Number | 1114846219
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Entity Type | Organization
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Legal Business Name | ADVANCED PRIMARY CARE LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1004 FALL MEADOW LN
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City | BELTON
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State | MO
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Zip | 64012-7828
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Country | US
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Telephone | 816-288-4895
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | BELTON
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State | MO
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Zip | 64012-0126
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Country | US
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Telephone | 816-288-4895
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHERI CAYE VENABLE
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Credential | LPN
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Telephone | 816-288-4895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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