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General NPI Number Information
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NPI Number | 1447905633
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Entity Type | Organization
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Legal Business Name | LESTER E COX MEDICAL CENTERS
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1550 E SUNSHINE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-1214
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Country | US
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Telephone | 417-269-1300
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Fax | 417-269-4349
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Provider Business Mailing Address
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Address Line | PO BOX 802843
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City | KANSAS CITY
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State | MO
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Zip | 64180-2843
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Country | US
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Telephone | 417-730-6430
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Fax | 417-269-7567
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Authorized Official
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Title or Position | EXECUTIVE VP & CFO
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Name | JACOB MCWAY
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Credential |
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Telephone | 417-269-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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