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General NPI Number Information
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NPI Number | 1699978148
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Entity Type | Organization
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Legal Business Name | WESTCHESTER FAMILY CARE PC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 809 WESTCHESTER AVE
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1784
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Country | US
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Telephone | 816-380-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 809 WESTCHESTER AVE
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1784
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Country | US
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Telephone | 816-380-3898
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Fax | 816-380-0725
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERTO SUAREZ
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Credential | M.D.
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Telephone | 816-380-3898
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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 | R5B32
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License Number State | MO
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