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General NPI Number Information
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NPI Number | 1235947326
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Entity Type | Organization
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Legal Business Name | CADRE HEALTH LLC
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 6720 E HIGHWAY WW
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City | COLUMBIA
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State | MO
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Zip | 65201-8771
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Country | US
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Telephone | 573-787-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 E HIGHWAY WW
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City | COLUMBIA
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State | MO
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Zip | 65201-8771
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Country | US
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Telephone | 573-787-4600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GLENWOOD SHELTON STANCIL JR.
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Credential | NBC-HWC, RT(R)(CT)
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Telephone | 573-787-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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