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General NPI Number Information
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NPI Number | 1033246459
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Entity Type | Organization
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Legal Business Name | COTTON-ONEIL CLINIC ENDOSCOPY CENTER RVOC TR
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 720 SW LANE ST
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City | TOPEKA
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State | KS
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Zip | 66606
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Country | US
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Telephone | 785-270-4884
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Fax | 785-270-4852
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Provider Business Mailing Address
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Address Line | 1500 SW 10TH AVE ATTN: CORP FINANCE
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City | TOPEKA
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State | KS
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Zip | 66604-1301
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Country | US
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Telephone | 785-354-5620
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Fax | 785-357-2878
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. DEBRA YOCUM
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Credential | CPA
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Telephone | 785-354-9591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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