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General NPI Number Information
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NPI Number | 1629295456
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Entity Type | Organization
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Legal Business Name | CITY OF BELTON
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 16300 N MULLEN RD
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City | BELTON
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State | MO
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Zip | 64012-2618
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Country | US
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Telephone | 816-331-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 506 MAIN ST
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City | BELTON
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State | MO
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Zip | 64012-2618
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Country | US
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Telephone | 816-331-4331
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Fax |
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Authorized Official
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Title or Position | ASST. CITY MANAGER AND FINANCE DIRE
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Name | SHEILA ERNZEN ERNZEN
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Credential |
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Telephone | 816-331-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 037010
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License Number State | MO
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