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General NPI Number Information
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NPI Number | 1013866979
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Entity Type | Individual
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Provider Name | MADISON DAVID COOLEY RN
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Gender | Male
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 3450 N ROCK RD BLDG 200
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City | WICHITA
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State | KS
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Zip | 67226-1327
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Country | US
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Telephone | 316-688-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 5923 W 42ND ST S
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City | WICHITA
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State | KS
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Zip | 67215-2041
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Country | US
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Telephone | 316-573-3988
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Fax |
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 13-166364-052
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License Number State | KS
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