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General NPI Number Information
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NPI Number | 1619718525
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Entity Type | Organization
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Legal Business Name | MISSOURI LIONS EYE RESEARCH FOUNDATION
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 10560 N AMBASSADOR DR STE 210
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City | KANSAS CITY
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State | MO
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Zip | 64153-1591
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Country | US
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Telephone | 816-454-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 N AMBASSADOR DR STE 210
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City | KANSAS CITY
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State | MO
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Zip | 64153-1591
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Country | US
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Telephone | 816-454-5454
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | PATRICK GORE
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Credential |
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Telephone | 816-255-1337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332G00000X
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Taxonomy Name | Eye Bank
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License Number |
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License Number State |
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