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General NPI Number Information
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NPI Number | 1023110822
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Entity Type | Organization
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Legal Business Name | VIA CHRISTI CLINIC PA
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 120 W JOSEPHINE AVE
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City | AUGUSTA
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State | KS
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Zip | 67010-2037
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Country | US
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Telephone | 316-775-5432
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8035
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City | WICHITA
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State | KS
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Zip | 67208-0035
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Country | US
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Telephone | 316-689-9135
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Fax | 316-689-9102
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Authorized Official
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Title or Position | DIRECTOR,PATIENT FINANCIAL SERVICES
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Name | SUZANN M WRIGHT
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Credential |
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Telephone | 316-689-9617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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