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General NPI Number Information
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NPI Number | 1396552824
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Entity Type | Organization
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Legal Business Name | ABOUT OUR KIDS, INC.
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1005 GULF STREET
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City | LAMAR
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State | MO
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Zip | 64759
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Country | US
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Telephone | 417-682-6002
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Fax | 417-681-0514
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Provider Business Mailing Address
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Address Line | 208A WEST 10TH STREET
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City | LAMAR
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State | MO
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Zip | 64759-1405
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Country | US
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Telephone | 417-682-6002
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Fax | 417-681-0514
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JEROD MICHAEL MOREY
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Credential | MS
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Telephone | 417-682-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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