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General NPI Number Information
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NPI Number | 1316113467
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Entity Type | Organization
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Legal Business Name | HOPKINS RHEUMATOLOGY PC
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 412 NW MOCK AVE STE A
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-2541
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Country | US
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Telephone | 816-961-5301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24050
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City | SHAWNEE MISSION
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State | KS
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Zip | 66283-4050
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Country | US
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Telephone | 816-961-5301
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PROVIDER
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Name | DR. PAUL KATZENSTEIN
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Credential | MD
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Telephone | 816-961-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MO112746
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License Number State | MO
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