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General NPI Number Information
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NPI Number | 1144787508
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Entity Type | Organization
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Legal Business Name | RICHLAND MEDICAL CENTER, INC
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 10645 PLATO DR
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City | PLATO
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State | MO
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Zip | 65552-8100
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Country | US
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Telephone | 573-765-5131
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Fax | 573-765-3122
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Provider Business Mailing Address
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Address Line | PO BOX 777
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City | RICHLAND
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State | MO
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Zip | 65556-0777
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Country | US
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Telephone | 573-765-5131
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Fax | 573-765-3122
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Authorized Official
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Title or Position | CFO
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Name | PAUL PHILLIP BOCCI
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Credential | CPA
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Telephone | 573-460-6024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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