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General NPI Number Information
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NPI Number | 1043011828
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Entity Type | Organization
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Legal Business Name | KANSAS OUTPATIENT PAIN AND SPINE CENTER, LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 16801 W 116TH ST
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City | LENEXA
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State | KS
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Zip | 66219-9603
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Country | US
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Telephone | 913-295-9596
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Fax |
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Provider Business Mailing Address
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Address Line | 13313 N MERIDIAN AVE STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENNIFER LEIGH SENGSTOCK
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Credential |
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Telephone | 913-295-9596
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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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