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General NPI Number Information
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NPI Number | 1023299161
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Entity Type | Organization
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Legal Business Name | PREFERRED MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 1230 E 6TH AVE STE 1A
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City | WINFIELD
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State | KS
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Zip | 67156-3143
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Country | US
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Telephone | 620-229-8617
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Fax | 620-229-9517
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Provider Business Mailing Address
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Address Line | PO BOX 764
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City | WICHITA
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State | KS
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Zip | 67201-0764
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Country | US
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Telephone | 620-229-8617
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Fax | 620-229-9517
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD J HETT
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Credential | MD
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Telephone | 316-268-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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