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General NPI Number Information
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NPI Number | 1669668059
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Entity Type | Organization
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Legal Business Name | PATIENTS FIRST HEALTH CARE LLC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 520 PINE ST
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City | STEELVILLE
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State | MO
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Zip | 65565-6041
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Country | US
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Telephone | 573-775-3335
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Fax | 573-775-3377
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Provider Business Mailing Address
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Address Line | 901 PATIENTS FIRST DR
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City | WASHINGTON
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State | MO
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Zip | 63090-4700
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Country | US
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Telephone | 636-390-1400
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Fax | 636-390-1439
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MICHAEL RAU
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Credential | M.D.
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Telephone | 636-390-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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