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General NPI Number Information
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NPI Number | 1013374990
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Entity Type | Organization
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Legal Business Name | ASCENSION MEDICAL GROUP VIA CHRISTI, PA
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 3311 E MURDOCK ST
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City | WICHITA
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State | KS
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Zip | 67208-3054
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Country | US
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Telephone | 316-689-9422
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 E MURDOCK ST
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City | WICHITA
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State | KS
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Zip | 67208-3054
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Country | US
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Telephone | 316-689-9422
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PATIENT FINANCIAL SERVICE
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Name | SUZANN M WRIGHT
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Credential |
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Telephone | 316-719-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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