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General NPI Number Information
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NPI Number | 1588528798
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CONNECTION HEALTHCARE AGENCY
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 14415 BRISTOL AVE
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City | GRANDVIEW
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State | MO
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Zip | 64030-4103
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Country | US
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Telephone | 816-585-7657
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Fax |
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Provider Business Mailing Address
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Address Line | 14415 BRISTOL AVE
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City | GRANDVIEW
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State | MO
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Zip | 64030-4103
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Country | US
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Telephone | 816-585-7657
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Fax |
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Authorized Official
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Title or Position | OWNER/PHLEBOTOMIST
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Name | MS. TRISEANA EDWARDS
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Credential |
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Telephone | 816-585-7657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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