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General NPI Number Information
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NPI Number | 1609839430
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Entity Type | Individual
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Provider Name | MICHELE L CALLAHAN NP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 433 S GARRISON
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City | CARTHAGE
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State | MO
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Zip | 64836-5215
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Country | US
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Telephone | 417-667-6015
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Fax | 417-667-3007
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Provider Business Mailing Address
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Address Line | 433 S GARRISON
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City | CARTHAGE
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State | MO
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Zip | 64836-5215
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Country | US
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Telephone | 417-359-8646
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Fax | 417-359-8344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2001008786
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License Number State | MO
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