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General NPI Number Information
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NPI Number | 1538059118
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Entity Type | Organization
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Legal Business Name | NORTHWEST HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 927 FELIX ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64501-2706
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Country | US
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Telephone | 816-232-6818
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Fax | 816-232-2991
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Provider Business Mailing Address
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Address Line | PO BOX 803886
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City | KANSAS CITY
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State | MO
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Zip | 64180-3886
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Country | US
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Telephone | 816-307-8231
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Fax | 816-232-2991
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MELISSA DUREE
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Credential |
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Telephone | 816-307-8231
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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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