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General NPI Number Information
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NPI Number | 1639165020
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Entity Type | Organization
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Legal Business Name | N & R OF DEXTER, INC.
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1204 N OUTER RD
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City | DEXTER
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State | MO
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Zip | 63841-8684
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Country | US
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Telephone | 573-624-5557
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Fax | 573-624-5558
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Provider Business Mailing Address
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Address Line | 1204 N OUTER RD
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City | DEXTER
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State | MO
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Zip | 63841-8684
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Country | US
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Telephone | 573-624-5557
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Fax | 573-624-5558
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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 | 573-481-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 030780
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License Number State | MO
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