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General NPI Number Information
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NPI Number | 1447784152
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Entity Type | Organization
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Legal Business Name | CHILDREN'S MERCY - CASS COUNTY PEDIATRICS & ADOLESCENTS
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 503 N SCOTT AVE
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City | BELTON
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State | MO
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Zip | 64012-1730
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Country | US
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Telephone | 816-322-4769
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Fax |
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Provider Business Mailing Address
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Address Line | 503 N SCOTT AVE
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City | BELTON
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State | MO
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Zip | 64012-1730
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Country | US
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Telephone | 816-322-4769
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT D FINUF II
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Credential |
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Telephone | 816-559-9370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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