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General NPI Number Information
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NPI Number | 1790972909
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Entity Type | Organization
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Legal Business Name | BARTON COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 407 MAIN STREET
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City | GOLDEN CITY
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State | MO
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Zip | 64748
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Country | US
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Telephone | 417-537-4311
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Fax | 417-537-4330
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Provider Business Mailing Address
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Address Line | 407 MAIN STREET
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City | GOLDEN CITY
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State | MO
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Zip | 64748
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Country | US
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Telephone | 417-537-4311
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Fax | 417-537-4330
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Authorized Official
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Title or Position | CLINIC BUSINESS COORDINATOR
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Name | MRS. T J KILLINGSWORTH
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Credential |
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Telephone | 417-537-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101370
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 106158
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 105928
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 086955
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 073423
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 268625
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License Number State | MO
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