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General NPI Number Information
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NPI Number | 1760118046
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Entity Type | Organization
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Legal Business Name | SIBYL DOWNING MD LLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 900 S RIVERSIDE RD
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2541
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Country | US
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Telephone | 816-608-2580
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Fax | 816-297-9875
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Provider Business Mailing Address
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Address Line | 3839 FREDERICK AVE
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3020
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Country | US
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Telephone | 816-396-8855
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Fax | 816-396-6123
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Authorized Official
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Title or Position | MANAGER
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Name | SIBYL E DOWNING
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Credential | MD
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Telephone | 816-608-2580
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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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