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General NPI Number Information
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NPI Number | 1457204984
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Entity Type | Organization
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Legal Business Name | ADVOCATES FOR A HEALTHY COMMUNITY, INC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1930 W GRAND ST
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City | SPRINGFIELD
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State | MO
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Zip | 65802-4870
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Country | US
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Telephone | 417-831-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 440 E TAMPA ST
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City | SPRINGFIELD
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State | MO
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Zip | 65806-1131
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Country | US
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Telephone | 417-831-0150
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MATTHEW STINSON
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Credential |
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Telephone | 417-831-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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