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General NPI Number Information
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NPI Number | 1235270612
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Entity Type | Organization
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Legal Business Name | TWIN RIVERS R-X
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9348 HIGHWAY 51
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City | BROSELEY
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State | MO
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Zip | 63932
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Country | US
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Telephone | 573-328-4321
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Fax | 573-328-1070
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Provider Business Mailing Address
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Address Line | 9348 HIGHWAY 51 PO BOX 146
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City | BROSELEY
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State | MO
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Zip | 63932
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Country | US
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Telephone | 573-328-4321
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Fax | 573-328-1070
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. ANDY ARBEITMAN
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Credential |
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Telephone | 573-328-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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