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General NPI Number Information
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NPI Number | 1902197270
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S MERCY HOSPITAL
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 3101 BROADWAY BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64111-2659
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Country | US
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Telephone | 816-960-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 GILLHAM RD ATTN: PROVIDER ENROLLMENT
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City | KANSAS CITY
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State | MO
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Zip | 64108-4619
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Country | US
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Telephone | 816-701-5200
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Fax | 816-302-9939
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | ROBERT D FINUF II
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Credential |
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Telephone | 816-701-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2011010462
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 22-02925
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License Number State | KS
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