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General NPI Number Information
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NPI Number | 1306937396
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Entity Type | Organization
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Legal Business Name | LIVINGSTON COUNTY PUBLIC HEALTH CENTER
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 ADAM DR
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-3900
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Country | US
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Telephone | 660-646-5506
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Fax | 660-646-4485
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Provider Business Mailing Address
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Address Line | PO BOX 973
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-0973
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Country | US
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Telephone | 660-646-5506
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Fax | 660-646-4485
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELIZABETH ANN MOSS
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Credential | RN
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Telephone | 660-646-5506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MO
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