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General NPI Number Information
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NPI Number | 1134097124
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Entity Type | Organization
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Legal Business Name | CHILDREN'S MERCY - PRIORITY CARE PEDIATRICS, INC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 9405 N OAK TRFY
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City | KANSAS CITY
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State | MO
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Zip | 64155-2233
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Country | US
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Telephone | 816-412-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 GILLHAM ROAD ATTN: PROVIDER ENROLLMENT
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City | KANSAS CITY
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State | MO
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Zip | 64108-4619
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Country | US
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Telephone | 816-701-5200
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ROBERT D FINUF II
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Credential |
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Telephone | 816-701-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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