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General NPI Number Information
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NPI Number | 1871512541
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Entity Type | Organization
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Legal Business Name | KANSAS CITY VETEREN'S ADMINISTRATION HOSPITAL
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 4801 E LINWOOD BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2226
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Country | US
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Telephone | 816-861-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 999 S CEDAR HILLS ST
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City | OLATHE
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State | KS
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Zip | 66061-5120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JASON S LANGFORD
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Credential | PT
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Telephone | 816-861-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 2003022701
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License Number State | MO
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