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General NPI Number Information
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NPI Number | 1477733475
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Entity Type | Organization
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Legal Business Name | LIFE UNLIMITED, INC.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4420 S 40TH ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64503-2157
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Country | US
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Telephone | 816-279-8558
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Fax | 816-279-1550
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Provider Business Mailing Address
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Address Line | 320 ARMOUR RD
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3515
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Country | US
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Telephone | 816-474-3026
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JULIE EDLUND
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Credential |
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Telephone | 816-474-3026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 139089
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License Number State | MO
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