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General NPI Number Information
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NPI Number | 1669654539
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Entity Type | Organization
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Legal Business Name | THE FAMILY DOCTORS OFFICE PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | WESTOWNE 3 SUITE 303
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City | LIBERTY
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State | MO
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Zip | 64068
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Country | US
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Telephone | 816-415-2999
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Fax | 816-415-9989
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Provider Business Mailing Address
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Address Line | WESTOWNE 3 SUITE 303
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City | LIBERTY
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State | MO
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Zip | 64068
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Country | US
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Telephone | 816-415-2999
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Fax | 816-415-9989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN ARTHUR CARDER
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Credential | MD
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Telephone | 816-415-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD107604
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License Number State | MO
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