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General NPI Number Information
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NPI Number | 1346228947
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Entity Type | Organization
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Legal Business Name | CURATORS OF THE UNIVERSITY OF MISSOURI
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 BUSINESS LOOP 70 W ELLIS FISCHEL HOSPITAL, SUITE 2014, DC900 00
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City | COLUMBIA
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State | MO
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Zip | 65203-3244
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Country | US
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Telephone | 573-884-2689
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Fax | 573-884-5494
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Provider Business Mailing Address
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Address Line | 121 UNIVERSITY HALL
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City | COLUMBIA
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State | MO
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Zip | 65211-0001
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Country | US
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Telephone | 573-884-2640
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Fax | 573-884-5494
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JAMES H. ROSS
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Credential |
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Telephone | 573-884-8738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 703 5
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License Number State | MO
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