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General NPI Number Information
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NPI Number | 1558445593
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Entity Type | Organization
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Legal Business Name | CITY OF KIRKWOOD
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 139 S KIRKWOOD RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-4303
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Country | US
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Telephone | 800-538-8278
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Fax | 580-628-2273
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Provider Business Mailing Address
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Address Line | PO BOX 220579
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City | KIRKWOOD
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State | MO
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Zip | 63122-0579
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Country | US
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Telephone | 800-538-8278
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Fax | 580-628-2273
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | JOHN ADAMS
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Credential |
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Telephone | 800-538-8278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 189111
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License Number State | MO
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