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General NPI Number Information
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NPI Number | 1528943040
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Entity Type | Organization
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Legal Business Name | SERVANTS HEART HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 311 PINE ST
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City | WEST PLAINS
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State | MO
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Zip | 65775-2533
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Country | US
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Telephone | 417-274-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 9395 COUNTY ROAD 9510
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City | WEST PLAINS
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State | MO
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Zip | 65775-3862
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Country | US
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Telephone | 417-274-1725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON KENNETH SPURLING
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Credential | MD
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Telephone | 417-274-1720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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