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General NPI Number Information
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NPI Number | 1427749936
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Entity Type | Organization
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Legal Business Name | SWOPE HEALTH SERVICES
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1001 6TH AVE STE 210
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City | LEAVENWORTH
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State | KS
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Zip | 66048-3248
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Country | US
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Telephone | 816-923-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 DR MARTIN LUTHER KING JR BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64130-2807
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Country | US
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Telephone | 816-923-5800
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ESSENCE MONGTOMERY
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Credential |
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Telephone | 816-599-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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