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General NPI Number Information
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NPI Number | 1750986626
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Entity Type | Organization
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Legal Business Name | TRUSTED PRIMARY CARE
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 109 E WEST PLAINS ST
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City | MEADE
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State | KS
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Zip | 67864-9738
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Country | US
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Telephone | 816-985-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 109 E WEST PLAINS ST
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City | MEADE
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State | KS
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Zip | 67864-9738
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Country | US
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Telephone | 816-985-1215
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MERRILL ELIZABETH HOOVER
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Credential | FNP-BC
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Telephone | 620-236-3484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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