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General NPI Number Information
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NPI Number | 1407151608
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Entity Type | Organization
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Legal Business Name | TRBHS PHYSICIANS GROUP
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 5121 RAYTOWN RD
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City | KANSAS CITY
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State | MO
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Zip | 64133-2141
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Country | US
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Telephone | 816-382-6300
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Fax | 816-382-6810
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Provider Business Mailing Address
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Address Line | 5121 RAYTOWN RD
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City | KANSAS CITY
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State | MO
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Zip | 64133-2141
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Country | US
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Telephone | 816-382-6300
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Fax | 816-382-6810
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN YOUNG
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Credential |
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Telephone | 816-382-6313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 349-23
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License Number State | MO
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