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General NPI Number Information
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NPI Number | 1609996974
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Entity Type | Organization
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Legal Business Name | COUNTY OF CASS
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1411 S COMMERCIAL ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-3001
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Country | US
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Telephone | 816-380-8425
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Fax | 816-380-8450
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Provider Business Mailing Address
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Address Line | 1411 S COMMERCIAL ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-3001
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Country | US
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Telephone | 816-380-8425
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Fax | 816-380-8438
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | KELSIE STAFFORD
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Credential |
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Telephone | 816-380-8425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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