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General NPI Number Information
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NPI Number | 1912122599
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Entity Type | Organization
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Legal Business Name | THE MISSOURI GROUP INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 7208 WORNALL ROAD SUITE B
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 816-756-1711
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Fax | 816-756-2332
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Provider Business Mailing Address
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Address Line | 7208 WORNALL ROAD SUITE B
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 816-756-1711
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Fax | 816-756-2332
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHELLY RENAE MARTIN
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Credential |
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Telephone | 816-756-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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