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General NPI Number Information
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NPI Number | 1639905235
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Entity Type | Organization
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Legal Business Name | RICHLAND MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1652 NORTH BUSINESS ROUTE 5
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City | CAMDENTON
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State | MO
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Zip | 65020
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Country | US
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Telephone | 573-836-7071
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Fax | 573-654-4054
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Provider Business Mailing Address
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Address Line | PO BOX 777
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City | RICHLAND
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State | MO
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Zip | 65556-0777
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Country | US
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Telephone | 573-836-7071
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Fax | 573-654-4054
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Authorized Official
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Title or Position | CEO
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Name | KELLY J MILLER
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Credential |
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Telephone | 573-836-7071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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