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General NPI Number Information
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NPI Number | 1669500773
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Entity Type | Organization
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Legal Business Name | COMMUNICARE P.C.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1401 W AUSTIN ST
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City | WEBB CITY
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State | MO
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Zip | 64870-1617
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Country | US
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Telephone | 417-434-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 W AUSTIN ST
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City | WEBB CITY
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State | MO
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Zip | 64870-1617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARTHA E WAUGH
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Credential |
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Telephone | 417-434-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 266594
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License Number State | MO
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