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General NPI Number Information
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NPI Number | 1699765123
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Entity Type | Organization
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Legal Business Name | CASS MEDICAL CENTER DBA CASS FAMILY CARE
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 ORIOLE ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2858
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Country | US
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Telephone | 816-884-3244
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Fax | 816-380-3970
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Provider Business Mailing Address
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Address Line | 103 ORIOLE ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2858
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Country | US
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Telephone | 816-884-3244
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Fax | 816-380-3970
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | JOHN CHRISTOPHER LANG
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Credential | CEO
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Telephone | 816-380-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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