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General NPI Number Information
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NPI Number | 1164486809
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Entity Type | Organization
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Legal Business Name | SAINT LUKE'S SURGICENTER - LEE'S SUMMIT
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 120 NE SAINT LUKES BLVD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-6000
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Country | US
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Telephone | 816-347-5800
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Fax | 816-347-5899
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Provider Business Mailing Address
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Address Line | PO BOX 7010
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City | OVERLAND PARK
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State | KS
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Zip | 66207-0010
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Country | US
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Telephone | 913-647-6475
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | LARRY FREVERT
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Credential |
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Telephone | 816-347-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 154-1
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License Number State | MO
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