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General NPI Number Information
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NPI Number | 1518809532
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Entity Type | Organization
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Legal Business Name | NEW LIBERTY HOSPITAL CORPORATION
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 2529 GLENN HENDREN DR STE 202
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City | LIBERTY
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State | MO
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Zip | 64068-9602
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Country | US
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Telephone | 816-781-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 GLENN HENDREN DR STE 202
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City | LIBERTY
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State | MO
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Zip | 64068-9602
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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 | COO
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Name | JOHN STATON
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Credential |
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Telephone | 816-792-7091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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