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General NPI Number Information
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NPI Number | 1053305136
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Entity Type | Organization
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Legal Business Name | SALINA CLINIC L.L.C.
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 501 S SANTA FE AVE SUITE 100
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City | SALINA
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State | KS
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Zip | 67401-4189
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Country | US
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Telephone | 785-827-9631
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Fax | 785-827-0217
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Provider Business Mailing Address
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Address Line | 501 S SANTA FE AVE 100
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City | SALINA
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State | KS
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Zip | 67401-4189
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Country | US
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Telephone | 785-827-9631
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Fax | 785-827-0217
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIM A OLIVER
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Credential |
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Telephone | 785-827-9631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | SA 534785
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License Number State | KS
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