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General NPI Number Information
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NPI Number | 1285088062
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Entity Type | Organization
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Legal Business Name | R K MATTHEWS INVESTMENTS INC.
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 6222 RAYTOWN TRFY SUITE 157
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City | RAYTOWN
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State | MO
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Zip | 64133-3847
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Country | US
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Telephone | 913-951-8283
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Fax | 816-920-6300
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Provider Business Mailing Address
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Address Line | 6222RAYTOWN TRFWY SUITE 157
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City | RAYTOWN
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State | MO
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Zip | 64133
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Country | US
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Telephone | 913-951-8283
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Fax | 816-920-6300
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM DENISE MATTHEWSCNA
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Credential | CNA
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Telephone | 816-920-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0210320512
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License Number State | MO
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