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General NPI Number Information
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NPI Number | 1437369774
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Entity Type | Individual
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Provider Name | GARY E MCCLUNG
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5701 STATE AVE SUITE 100
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City | KANSAS CITY
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State | KS
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Zip | 66102-1236
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Country | US
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Telephone | 913-596-3239
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Fax |
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Provider Business Mailing Address
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Address Line | 9 VICTORY DR
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City | LIBERTY
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State | MO
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Zip | 64068-1973
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Country | US
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Telephone | 816-313-2800
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Fax | 816-792-9819
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2003000128
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License Number State | MO
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