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General NPI Number Information
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NPI Number | 1942414289
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Entity Type | Organization
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Legal Business Name | HEALTHEPATH ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1905 W 32ND ST SUITE 305
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City | JOPLIN
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State | MO
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Zip | 64804-1529
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Country | US
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Telephone | 417-626-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 W 32ND ST SUITE 305
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City | JOPLIN
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State | MO
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Zip | 64804-1529
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Country | US
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Telephone | 417-626-7900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TERRY JAMES RICHARDSON
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Credential | LCSW
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Telephone | 417-626-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2002023867
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License Number State | MO
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