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General NPI Number Information
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NPI Number | 1548816242
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Entity Type | Organization
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Legal Business Name | PERCEPTION POINT SERVICES OF MISSOURI LLC
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Dates
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Enumeration Date | 08/18/2019
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1900 N PROVIDENCE RD STE 305
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City | COLUMBIA
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State | MO
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Zip | 65202-3710
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Country | US
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Telephone | 573-447-8388
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Fax | 573-447-7433
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Provider Business Mailing Address
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Address Line | PO BOX 7479
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City | COLUMBIA
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State | MO
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Zip | 65205-7479
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Country | US
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Telephone | 573-447-8388
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Fax | 573-447-7433
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | LAURA L MCMURRY
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Credential | MSW LCSW
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Telephone | 573-447-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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