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General NPI Number Information
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NPI Number | 1972910487
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MISSOURI
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | COLUMBIA
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State | MO
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Zip | 65201-5276
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Country | US
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Telephone | 417-846-7409
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR
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City | COLUMBIA
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State | MO
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Zip | 65201-5276
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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 | RESIDENT
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Name | DR. ADAM BROWN
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Credential | MD
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Telephone | 417-846-7409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 2014021891
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License Number State | MO
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