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General NPI Number Information
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NPI Number | 1871750380
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Entity Type | Organization
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Legal Business Name | YENDES,MCGRAW, MCGRAW,WILLIAMS, PETERSON& MORRISON, DDS PC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 19501 E 40 HWY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5475
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Country | US
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Telephone | 816-795-9500
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Fax | 816-795-9501
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Provider Business Mailing Address
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Address Line | 19501 E 40 HWY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5475
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Country | US
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Telephone | 816-795-9500
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Fax | 816-795-9501
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE MICHAEL HAWKINS
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Credential | DDS
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Telephone | 816-795-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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