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General NPI Number Information
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NPI Number | 1992793517
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Entity Type | Organization
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Legal Business Name | ADAIR COUNTY HEALTH DEPT
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 1001 S JAMISON ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-3941
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Country | US
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Telephone | 660-665-8491
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Fax | 660-627-2913
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Provider Business Mailing Address
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Address Line | 1001 S JAMISON ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-3941
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Country | US
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Telephone | 660-665-8491
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Fax | 660-627-2913
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMES EDWARD LEBARON
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Credential |
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Telephone | 660-665-8491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 125-20
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License Number State | MO
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