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General NPI Number Information
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NPI Number | 1912854738
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Entity Type | Organization
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Legal Business Name | HEALTH DIRECT PLUS
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1505 E BRADFORD PKWY
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6566
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Country | US
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Telephone | 417-281-0051
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Fax | 417-281-0061
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Provider Business Mailing Address
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Address Line | 1505 E BRADFORD PKWY
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6566
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Country | US
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Telephone | 417-281-0051
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Fax | 417-281-0061
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JACQUELINE MAES
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Credential |
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Telephone | 417-281-0051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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