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General NPI Number Information
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NPI Number | 1679569057
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Entity Type | Organization
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Legal Business Name | N & R OF PLATTSBURG, LLC
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 253 E HIGHWAY 116
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City | PLATTSBURG
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State | MO
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Zip | 64477-1561
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Country | US
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Telephone | 816-539-2376
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Fax | 816-539-3187
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Provider Business Mailing Address
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Address Line | 253 E HIGHWAY 116
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City | PLATTSBURG
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State | MO
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Zip | 64477-1561
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Country | US
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Telephone | 816-539-2376
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Fax | 816-539-3187
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Authorized Official
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Title or Position | MEMBER
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Name | JAMES C LINCOLN
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Credential |
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Telephone | 573-746-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 031462
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License Number State | MO
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