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General NPI Number Information
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NPI Number | 1861561524
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Entity Type | Organization
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Legal Business Name | CITY OF INDEPENDENCE
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 111 E MAPLE AVE
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City | INDEPENDENCE
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State | MO
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Zip | 64050-3066
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Country | US
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Telephone | 816-325-7803
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Fax | 816-325-7024
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Provider Business Mailing Address
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Address Line | PO BOX 1019
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City | INDEPENDENCE
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State | MO
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Zip | 64051-0519
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Country | US
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Telephone | 816-325-7185
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Fax | 816-325-7098
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Authorized Official
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Title or Position | HEALTH DEPARTMENT DIRECTOR
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Name | CHRISTINA HEINEN
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Credential |
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Telephone | 816-325-7019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 12490261
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License Number State | MO
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