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General NPI Number Information
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NPI Number | 1821809047
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Entity Type | Organization
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Legal Business Name | IHPER MO CORP
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1000 CARONDELET DR
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City | KANSAS CITY
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State | MO
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Zip | 64114-4673
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Country | US
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Telephone | 816-655-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 350 SENTRY PARKWAY BLDG- 660, STE-102
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City | BLUE BELL
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State | PA
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Zip | 19422
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Country | US
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Telephone | 484-965-9566
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Fax | 484-965-9567
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Authorized Official
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Title or Position | CO-CEO
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Name | DR. WILLIAM VEMULA
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Credential | MD
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Telephone | 856-294-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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