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General NPI Number Information
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NPI Number | 1437513686
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Entity Type | Organization
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Legal Business Name | FREEMAN NEOSHO HOSPITAL
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 510 PARK ST
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City | ANDERSON
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State | MO
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Zip | 64831-9280
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Country | US
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Telephone | 417-845-0545
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Fax | 417-845-0548
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Provider Business Mailing Address
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Address Line | 1102 W 32ND ST
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City | JOPLIN
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State | MO
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Zip | 64804-3503
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Country | US
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Telephone | 417-347-1111
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Fax | 417-347-0702
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Authorized Official
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Title or Position | CFO
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Name | STEVEN W GRADDY
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Credential |
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Telephone | 417-347-6678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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