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General NPI Number Information
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NPI Number | 1760158364
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Entity Type | Organization
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Legal Business Name | MISSION OF LOVE ADULT DAY CARE CORPORATION
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 12019 E 47TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64133-2517
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Country | US
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Telephone | 816-605-1137
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Fax | 816-605-1155
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Provider Business Mailing Address
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Address Line | 12019 E 47TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64133-2517
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Country | US
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Telephone | 816-605-1137
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Fax | 816-605-1155
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOYCE SMITH
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Credential |
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Telephone | 816-605-1137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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