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NPI 1245222611

NPI 1245222611 : HERBERT EDWARD DEMPSEY D.O. : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1245222611
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    Entity Type          |    Individual 
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    Provider Name        |    HERBERT EDWARD DEMPSEY D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/22/2005
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    Last Update Date     |    09/27/2024
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Provider Practice Location Address
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    Address Line         |    801 NE ANDERSON LN 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64064-1244
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    Country              |    US
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    Telephone            |    816-875-4322
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    Fax                  |    833-973-0968
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Provider Business Mailing Address
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    Address Line         |    801 NE ANDERSON LN 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64064-1244
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    Country              |    US
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    Telephone            |    816-875-4322
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    Fax                  |    913-495-3727
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    R8J60
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    License Number State |    MO
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