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General NPI Number Information
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NPI Number | 1467676734
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Entity Type | Organization
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Legal Business Name | MEDICAL PARTNERS OF AURORA, LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 S WASHINGTON AVE SUITE A
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City | AURORA
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State | MO
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Zip | 65605-1463
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Country | US
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Telephone | 417-678-4022
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Fax | 417-678-4028
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Provider Business Mailing Address
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Address Line | 600 W CALE ST
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City | MONETT
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State | MO
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Zip | 65708-2423
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Country | US
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Telephone | 417-236-9295
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Fax | 417-678-4028
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Authorized Official
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Title or Position | PARTNER
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Name | BENJAMIN G. LEAVITT
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Credential | M.D.
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Telephone | 417-669-2684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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