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General NPI Number Information
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NPI Number | 1639362460
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Entity Type | Organization
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Legal Business Name | MIDWEST DIVISION - LRHC LLC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 1500 STATE ST
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City | LEXINGTON
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State | MO
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Zip | 64067-1107
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Country | US
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Telephone | 660-259-2203
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Fax | 660-259-6813
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Provider Business Mailing Address
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Address Line | 1500 STATE ST
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City | LEXINGTON
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State | MO
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Zip | 64067-1107
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Country | US
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Telephone | 660-259-2203
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Fax | 660-259-6813
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Authorized Official
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Title or Position | ACOUNTING COORDINATOR/FINANCIAL ANA
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Name | MRS. SHANDA L SPIRE
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Credential |
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Telephone | 660-259-2203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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