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General NPI Number Information
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NPI Number | 1578488078
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Entity Type | Organization
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Legal Business Name | CROOKED RIVER ENDEAVORS ELM STREET APARTMENTS
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 201 NE 1ST ST
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City | HARDIN
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State | MO
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Zip | 64035-7135
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Country | US
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Telephone | 816-694-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 507 SOUTHVIEW DR
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City | RICHMOND
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State | MO
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Zip | 64085-2317
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Country | US
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Telephone | 816-694-8911
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JASON ROBERT RAASCH
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Credential |
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Telephone | 816-694-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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