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General NPI Number Information
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NPI Number | 1316120645
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Entity Type | Organization
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Legal Business Name | GOODVIEW FAMILY CARE
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 3600 NE RALPH POWELL RD SUITE B
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2369
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Country | US
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Telephone | 816-795-0400
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Fax | 816-525-4918
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Provider Business Mailing Address
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Address Line | PO BOX 1626
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City | SPRINGFIELD
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State | MO
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Zip | 65801-1626
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Country | US
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Telephone | 816-517-8629
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Fax | 417-864-8097
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELIZABETH ANN LAMBIRD
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Credential | D.O.
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Telephone | 816-795-0400
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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 | 2002002064
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License Number State | MO
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