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General NPI Number Information
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NPI Number | 1487509568
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Entity Type | Organization
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Legal Business Name | EMPOWERED HEALTH JV LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 910 W 14TH ST STE 140
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City | WASHINGTON
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State | MO
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Zip | 63090-7003
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Country | US
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Telephone | 636-432-1158
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Fax | 636-206-2886
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Provider Business Mailing Address
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Address Line | 910 W 14TH ST STE 140
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City | WASHINGTON
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State | MO
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Zip | 63090-7003
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Country | US
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Telephone | 636-432-1158
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Fax | 636-206-2886
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Authorized Official
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Title or Position | MEMBER
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Name | KRISTEN JARVIS
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Credential | FNP
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Telephone | 636-432-6641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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