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General NPI Number Information
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NPI Number | 1851831176
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Entity Type | Organization
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Legal Business Name | SAINT LUKE'S CARDIOVASCULAR CONSULTANTS
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 4330 WORNALL RD SUITE 2000
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City | KANSAS CITY
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State | MO
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Zip | 64111-3201
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Country | US
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Telephone | 816-931-1883
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Fax | 816-303-3320
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Provider Business Mailing Address
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Address Line | 4330 WORNALL RD SUITE 2000
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City | KANSAS CITY
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State | MO
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Zip | 64111-3201
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Country | US
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Telephone | 816-931-1883
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Fax | 816-303-3320
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Authorized Official
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Title or Position | DIRECTOR HUMAN RESOURCES
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Name | POLLY MCNELLIS
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Credential | MBA
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Telephone | 816-751-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2017004728
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License Number State | MO
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