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NPI 1972583474

NPI 1972583474 : SPOFFORD : KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1972583474
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPOFFORD 
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Dates
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    Enumeration Date     |    01/19/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    9700 GRANDVIEW RD 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64137-1135
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    Country              |    US
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    Telephone            |    816-508-3400
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    Fax                  |    816-508-3425
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Provider Business Mailing Address
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    Address Line         |    9700 GRANDVIEW RD P.O. BOX 9888
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64137-1135
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    Country              |    US
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    Telephone            |    816-508-3400
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    Fax                  |    816-508-3425
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MS. JANINE  HRON 
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    Credential           |    
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    Telephone            |    816-508-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    322D00000X
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    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
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    License Number       |    
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    MO
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