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General NPI Number Information
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NPI Number | 1023374147
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Entity Type | Organization
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Legal Business Name | SURGICAL HANDS OF KANSAS
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 14201 W 82ND ST #2
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City | LENEXA
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State | KS
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Zip | 66215-4125
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Country | US
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Telephone | 816-522-7899
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Fax | 913-302-0669
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Provider Business Mailing Address
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Address Line | 14201 W 82ND ST #2
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City | LENEXA
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State | KS
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Zip | 66215-4125
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Country | US
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Telephone | 816-522-7899
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Fax | 913-302-0669
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Authorized Official
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Title or Position | OWNER
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Name | TYRONE M TAYLOR
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Credential | CSA,SA-C
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Telephone | 816-522-7899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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