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General NPI Number Information
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NPI Number | 1316070212
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 203 E COMMERCIAL ST
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City | KAHOKA
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State | MO
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Zip | 63445-1710
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Country | US
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Telephone | 660-727-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E LAHARPE ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-4520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | MARK CONOVER
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Credential |
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Telephone | 573-603-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 6300-9238
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License Number State | MO
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