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General NPI Number Information
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NPI Number | 1184740334
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Entity Type | Organization
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Legal Business Name | COUNTY OF MCDONALD
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 500 OLIN ST
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City | PINEVILLE
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State | MO
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Zip | 64856-0366
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Country | US
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Telephone | 417-223-4351
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Fax | 417-223-4109
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Provider Business Mailing Address
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Address Line | 500 OLIN ST PO BOX 366
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City | PINEVILLE
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State | MO
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Zip | 64856
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Country | US
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Telephone | 417-223-4351
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAIGE A BEHM
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Credential |
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Telephone | 417-223-4351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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