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General NPI Number Information
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NPI Number | 1235453408
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Entity Type | Organization
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Legal Business Name | KIRKSVILLE CLINIC CORP
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 103 S 18TH ST
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City | UNIONVILLE
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State | MO
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Zip | 63565-1642
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Country | US
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Telephone | 660-947-2300
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Fax | 660-947-2307
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7585
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Fax | 615-465-3007
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BRIAN A PEOPLES
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Credential |
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Telephone | 615-465-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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