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General NPI Number Information
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NPI Number | 1508009440
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Entity Type | Organization
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Legal Business Name | RAYMORE URGENT CARE
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 242 BROADMOOR DR
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City | RAYMORE
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State | MO
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Zip | 64083-9298
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Country | US
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Telephone | 816-415-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 W KANSAS ST
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City | LIBERTY
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State | MO
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Zip | 64068-2281
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Country | US
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Telephone | 816-415-8855
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Fax | 816-415-8826
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J OCHS
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Credential | DO
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Telephone | 816-415-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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