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General NPI Number Information
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NPI Number | 1558487009
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Entity Type | Organization
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Legal Business Name | MIDWEST DIGESTIVE HEALTH CENTER LLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 3601 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2358
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Country | US
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Telephone | 816-525-4440
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Fax | 816-246-9887
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Provider Business Mailing Address
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Address Line | 3601 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2358
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Country | US
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Telephone | 816-525-4440
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Fax | 816-246-9887
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ERICA WEHRMEISTER
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Credential |
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Telephone | 260-760-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 121-2
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 121-7
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License Number State | MO
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