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General NPI Number Information
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NPI Number | 1467725341
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Entity Type | Organization
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Legal Business Name | COMPLETE COVERAGE LLC
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 08/29/2017
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Provider Practice Location Address
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Address Line | 3066 SW GRANDSTAND CIR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3866
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Country | US
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Telephone | 816-822-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 3066 SW GRANDSTAND CIR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3866
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOY CUEZZE
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Credential | MD
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Telephone | 913-215-5008
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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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