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General NPI Number Information
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NPI Number | 1992023907
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS HOSPITAL
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 1500 W ASHLAND ST
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City | NEVADA
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State | MO
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Zip | 64772-1710
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Country | US
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Telephone | 417-448-5602
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Fax | 417-448-5688
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Provider Business Mailing Address
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Address Line | 1500 W ASHLAND ST
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City | NEVADA
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State | MO
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Zip | 64772-1710
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Country | US
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Telephone | 417-448-5602
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Fax | 417-448-5688
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVGE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 000076966
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License Number State | MO
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