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General NPI Number Information
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NPI Number | 1790743698
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Entity Type | Organization
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Legal Business Name | FREEMAN-OAK HILL HEALTH SYSTEM
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 336 S JEFFERSON ST
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City | NEOSHO
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State | MO
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Zip | 64850-1769
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Country | US
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Telephone | 417-455-4314
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Fax | 417-347-1092
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Provider Business Mailing Address
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Address Line | 1102 W 32ND ST
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City | JOPLIN
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State | MO
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Zip | 64804-3503
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Country | US
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Telephone | 417-347-3792
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Fax | 417-347-1092
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Authorized Official
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Title or Position | CFO
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Name | MR. STEVE W GRADDY
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Credential |
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Telephone | 417-347-6678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 5538
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 005793
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License Number State | MO
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