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General NPI Number Information
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NPI Number | 1003011529
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Entity Type | Individual
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Provider Name | JOHN CHRISTIAN BIRKY MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 311 E SPRUCE ST STE 2B
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City | GARDEN CITY
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State | KS
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Zip | 67846-5614
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Country | US
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Telephone | 620-765-4324
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Fax | 620-464-4732
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Provider Business Mailing Address
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Address Line | 902 N 5TH ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5640
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Country | US
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Telephone | 620-277-8676
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Fax | 620-464-4732
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-33089
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License Number State | KS
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