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General NPI Number Information
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NPI Number | 1114974607
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Entity Type | Individual
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Provider Name | HARRY LOUNCE MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 12121 BLUE RIDGE EXT BLUE RIDGE FAMILY PHYSICIANS, STE. M
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City | GRANDVIEW
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State | MO
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Zip | 64030-6401
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Country | US
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Telephone | 816-761-0884
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Fax | 816-716-1790
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Provider Business Mailing Address
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Address Line | 2330 SHAWNEE MISSION PKWY MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone | 913-588-9000
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Fax | 913-588-9822
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 36186
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License Number State | MO
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