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General NPI Number Information
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NPI Number | 1306116983
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Entity Type | Organization
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Legal Business Name | BEYOND FAMILY, LLC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 817 E 31ST ST STE C
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City | KANSAS CITY
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State | MO
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Zip | 64109-1442
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Country | US
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Telephone | 816-931-4737
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Fax | 816-931-4737
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Provider Business Mailing Address
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Address Line | 817 E 31ST ST STE C
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City | KANSAS CITY
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State | MO
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Zip | 64109-1442
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Country | US
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Telephone | 816-931-4737
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Fax | 816-931-4737
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAMMETT KRUSHALL
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Credential | MPA
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Telephone | 816-931-4737
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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 |
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License Number State |
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