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General NPI Number Information
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NPI Number | 1356522551
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Entity Type | Organization
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Legal Business Name | DR. RICK J. UNSELL LLC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 7436 NW RIVER PARK DR
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City | PARKVILLE
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State | MO
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Zip | 64152-5028
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Country | US
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Telephone | 816-587-7327
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Fax | 816-587-7328
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Provider Business Mailing Address
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Address Line | 7436 NW RIVER PARK DR
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City | PARKVILLE
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State | MO
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Zip | 64152-5028
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Country | US
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Telephone | 816-587-7327
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Fax | 816-587-7328
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICK JON UNSELL
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Credential | OD
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Telephone | 816-587-7327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | T02278
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License Number State | MO
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