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General NPI Number Information
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NPI Number | 1063056752
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Entity Type | Individual
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Provider Name | ROSS KAHAN BINFORD PA
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Gender | Male
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 1102 SAINT MARYS RD
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4139
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Country | US
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Telephone | 785-238-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 17402 53RD AVE
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City | HAVILAND
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State | KS
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Zip | 67059-7820
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02283
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License Number State | KS
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