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General NPI Number Information
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NPI Number | 1013994979
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Entity Type | Individual
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Provider Name | PAT DINH DO MD
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Gender | Male
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 1923 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-262-4886
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Fax | 316-262-4887
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Provider Business Mailing Address
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Address Line | 1923 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-262-4886
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Fax | 316-262-4887
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0428594
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License Number State | KS
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