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General NPI Number Information
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NPI Number | 1578556023
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Entity Type | Organization
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Legal Business Name | MIDWEST EMERGENCY MEDICAL SERVICES PC
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2800 CLAY EDWARDS DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3220
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Country | US
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Telephone | 816-346-7220
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Fax | 816-346-7242
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Provider Business Mailing Address
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Address Line | PO BOX 11157
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City | KANSAS CITY
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State | MO
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Zip | 64119-0157
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Country | US
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Telephone | 855-381-3941
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN L RUSSELL
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Credential | MD
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Telephone | 816-346-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | MO
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