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General NPI Number Information
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NPI Number | 1801031414
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Entity Type | Organization
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Legal Business Name | SAINT LUKE'S CARDIOLOGY SERVICES, LLC
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 4401 WORNALL RD
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City | KANSAS CITY
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State | MO
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Zip | 64111-3220
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Country | US
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Telephone | 816-932-2000
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Fax | 816-932-9642
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Provider Business Mailing Address
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Address Line | 4401 WORNALL RD
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City | KANSAS CITY
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State | MO
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Zip | 64111-3220
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Country | US
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Telephone | 816-932-2000
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Fax | 816-932-9642
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Authorized Official
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Title or Position | SENIOR DIRECTOR PHYSICIAN SERVICES
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Name | JOHN M HENRICHS
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Credential |
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Telephone | 816-932-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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