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General NPI Number Information
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NPI Number | 1922156447
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Entity Type | Organization
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Legal Business Name | NODAWAY HOLT R VII
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 318 S TAYLOR ST
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City | GRAHAM
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State | MO
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Zip | 64455-9774
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Country | US
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Telephone | 660-939-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 318 S TAYLOR ST
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City | GRAHAM
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State | MO
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Zip | 64455-9774
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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 | SECRETARY
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Name | BEVERLY SHIFFLETT
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Credential |
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Telephone | 660-939-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | MO
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