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General NPI Number Information
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NPI Number | 1164456612
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Entity Type | Organization
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Legal Business Name | LESTER E. COX MEDICAL CENTERS
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 151 JOHNSTOWN DRIVE
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City | ROGERSVILLE
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State | MO
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Zip | 65742-9366
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Country | US
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Telephone | 417-269-2252
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Fax | 417-269-2259
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Provider Business Mailing Address
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Address Line | PO BOX 7411626
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City | CHICAGO
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State | IL
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Zip | 60674-5626
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Country | US
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Telephone | 417-730-6430
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Fax | 417-269-7567
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Authorized Official
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Title or Position | SR VP & CFO
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Name | JACOB MCWAY
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Credential |
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Telephone | 417-269-8811
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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