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General NPI Number Information
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NPI Number | 1437301413
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Entity Type | Organization
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Legal Business Name | CURATORS OF THE UNIVERSITY OF MISSOURI
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 303 LEWIS HALL
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City | COLUMBIA
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State | MO
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Zip | 65211-4280
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Country | US
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Telephone | 573-882-5469
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Fax | 573-884-3557
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Provider Business Mailing Address
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Address Line | PO BOX 7538
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City | COLUMBIA
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State | MO
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Zip | 65205-7538
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Country | US
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Telephone | 573-882-5469
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Fax | 573-884-3557
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Authorized Official
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Title or Position | DEAN
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Name | DR. RICHARD OLIVER
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Credential |
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Telephone | 573-884-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 104127
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License Number State | MO
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