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General NPI Number Information
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NPI Number | 1306155668
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Entity Type | Organization
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Legal Business Name | WEST PLAINS FAMILY CLINIC INC.
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 1108 ALASKA ST
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City | WEST PLAINS
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State | MO
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Zip | 65775-2002
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Country | US
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Telephone | 417-256-7137
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Fax | 417-257-7150
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Provider Business Mailing Address
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Address Line | 1108 ALASKA ST
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City | WEST PLAINS
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State | MO
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Zip | 65775-2002
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Country | US
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Telephone | 417-256-7137
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Fax | 417-257-7150
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. ARTHUR GEORGE BENTLEY JR.
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Credential | D.O.
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Telephone | 417-256-7137
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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 | DO34955
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License Number State | MO
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