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General NPI Number Information
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NPI Number | 1225113640
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Entity Type | Organization
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Legal Business Name | OZARK HEALTH VENTURES, LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 3550 S NATIONAL AVE STE 200
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7309
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Country | US
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Telephone | 417-269-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 S NATIONAL AVE STE 200
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City | SPRINGFIELD
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State | MO
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Zip | 65807-7309
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Country | US
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Telephone | 417-269-9300
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT - FINANCE
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Name | SCOTT R REYNOLDS
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Credential |
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Telephone | 417-820-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2004031906
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License Number State | MO
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