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General NPI Number Information
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NPI Number | 1588610521
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Entity Type | Organization
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Legal Business Name | N & R OF REPUBLIC LLC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 300 S COTTONWOOD AVE
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City | REPUBLIC
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State | MO
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Zip | 65738-2093
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Country | US
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Telephone | 417-732-2929
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Fax | 417-732-9913
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Provider Business Mailing Address
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Address Line | 300 S COTTONWOOD AVE
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City | REPUBLIC
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State | MO
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Zip | 65738-2093
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Country | US
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Telephone | 417-233-7032
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Fax | 417-233-7033
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Authorized Official
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Title or Position | CFO
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Name | CARLA HEDRICK
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Credential | CFO
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Telephone | 573-481-9325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 037410
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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