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General NPI Number Information
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NPI Number | 1396061966
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Entity Type | Individual
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Provider Name | MATTHEW SHADE TOWSLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 2411 HOLMES ST UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM M2-302
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City | KANSAS CITY
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State | MO
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Zip | 64108-2741
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Country | US
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Telephone | 816-932-2107
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Fax | 816-932-6104
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Provider Business Mailing Address
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Address Line | 8000 W 110TH ST STE 150
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2382
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Country | US
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Telephone | 913-599-6777
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Fax | 913-599-3955
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2016022719
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License Number State | MO
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