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General NPI Number Information
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NPI Number | 1730456013
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Entity Type | Organization
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Legal Business Name | KARE HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 1435 E BRADFORD PKWY SUITE 105
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6563
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Country | US
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Telephone | 417-881-4994
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Fax | 417-881-4998
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Provider Business Mailing Address
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Address Line | 1435 E BRADFORD PKWY SUITE 105
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6563
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Country | US
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Telephone | 417-881-4994
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Fax | 417-881-4998
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Authorized Official
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Title or Position | OWNER
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Name | MR. KERI SUTTON
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Credential |
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Telephone | 417-881-4994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2010006173
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License Number State | MO
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