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General NPI Number Information
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NPI Number | 1811163553
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Entity Type | Organization
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Legal Business Name | CASS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 1800 E MECHANIC
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2017
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Country | US
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Telephone | 816-380-5888
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Fax | 816-380-4639
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Provider Business Mailing Address
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Address Line | 1800 E MECHANIC
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2017
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Country | US
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Telephone | 816-380-5888
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Fax | 816-380-4639
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN CHRISTOPHER LANG
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Credential |
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Telephone | 816-380-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 21942
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 21942
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License Number State | MO
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