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General NPI Number Information
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NPI Number | 1457551996
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Entity Type | Organization
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Legal Business Name | CURATORS OF THE UNIVERSITY OF MISSOURI
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 715 N MORLEY ST
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City | MOBERLY
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State | MO
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Zip | 65270-2617
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Country | US
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Telephone | 660-263-5090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 843966
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City | KANSAS CITY
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State | MO
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Zip | 64184-3966
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Country | US
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Telephone | 573-884-3019
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VICTOR ARNOLD
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Credential |
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Telephone | 573-882-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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