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General NPI Number Information
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NPI Number | 1225027642
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Entity Type | Organization
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Legal Business Name | KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 2412A S FRANKLIN ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-4616
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Country | US
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Telephone | 660-627-2787
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Fax | 660-627-7492
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Provider Business Mailing Address
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Address Line | 2412A S FRANKLIN ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-4616
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Country | US
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Telephone | 660-627-2787
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Fax | 660-627-7492
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Authorized Official
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Title or Position | SR DIRECTOR BUSINESS OFFICE SUPPORT
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 704-9HH
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License Number State | MO
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