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NPI 1265323778

NPI 1265323778 : AD ASTRA HEALTH LLC : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1265323778
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    Entity Type          |    Organization 
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    Legal Business Name  |    AD ASTRA HEALTH LLC 
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Dates
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    Enumeration Date     |    07/12/2025
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    100 W 9TH ST 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64105-1713
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    Country              |    US
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    Telephone            |    913-232-2745
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    Fax                  |    816-326-9027
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Provider Business Mailing Address
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    Address Line         |    100 W 9TH ST 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64105-1713
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    Country              |    US
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    Telephone            |    913-232-2745
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    Fax                  |    816-326-9027
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANGELA J PRATO 
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    Credential           |    MD
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    Telephone            |    913-232-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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