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General NPI Number Information
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NPI Number | 1780647164
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Entity Type | Organization
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Legal Business Name | PARKVIEW SURGEONS, PC
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 1300 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3018
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Country | US
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Telephone | 417-326-2100
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Fax | 417-777-6677
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Provider Business Mailing Address
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Address Line | 1300 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3018
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Country | US
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Telephone | 417-326-2100
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Fax | 417-777-6677
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Authorized Official
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Title or Position | PARTNER OR CORPORATION
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Name | MS. LINDA MILHOLEN
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Credential | MD
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Telephone | 417-326-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2001029380
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License Number State | MO
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