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General NPI Number Information
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NPI Number | 1497265078
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Entity Type | Organization
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Legal Business Name | MIDWEST GI HEALTH LLC
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 3601 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2358
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Country | US
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Telephone | 816-207-2000
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Fax | 816-207-2222
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Provider Business Mailing Address
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Address Line | 3601 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2358
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Country | US
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Telephone | 816-207-2000
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Fax | 816-207-2222
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | MARC K TAORMINA
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Credential | MD
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Telephone | 816-207-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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