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General NPI Number Information
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NPI Number | 1174950521
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Entity Type | Organization
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Legal Business Name | BABBITT MEDIATION & GERIATRIC SERVICES, LLC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 8687 STATE HIGHWAY 43
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City | WEBB CITY
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State | MO
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Zip | 64870-9161
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Country | US
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Telephone | 417-434-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 8687 STATE HIGHWAY 43
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City | WEBB CITY
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State | MO
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Zip | 64870-9161
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Country | US
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Telephone | 417-434-3399
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Fax |
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Authorized Official
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Title or Position | OWNER, LCSW
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Name | MRS. RICHELE LEE BABBITT
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Credential | MSW
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Telephone | 417-434-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2011016950
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License Number State | MO
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