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General NPI Number Information
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NPI Number | 1770766982
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Entity Type | Organization
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Legal Business Name | HEALTH ADMINISOURCE, LLC
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 7932 N OAK TRFY SUITE 212
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City | KANSAS CITY
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State | MO
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Zip | 64118-1423
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Country | US
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Telephone | 816-436-4500
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Fax | 816-436-4510
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Provider Business Mailing Address
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Address Line | 7932 N OAK TRFY SUITE 212
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City | KANSAS CITY
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State | MO
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Zip | 64118-1423
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Country | US
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Telephone | 816-436-4500
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Fax | 816-436-4510
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELA A DUNCAN
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Credential |
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Telephone | 816-226-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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