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General NPI Number Information
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NPI Number | 1063568897
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Entity Type | Organization
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Legal Business Name | COUNTY OF LINN
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 902 MAIN ST P.0.BOX 456
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City | PLEASANTON
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State | KS
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Zip | 66075-4078
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Country | US
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Telephone | 913-352-6640
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Fax | 913-352-6730
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Provider Business Mailing Address
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Address Line | PO BOX 456 902 MAIN
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City | PLEASANTON
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State | KS
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Zip | 66075-0456
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Country | US
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Telephone | 913-352-6640
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Fax | 913-352-6730
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DONNA M THOMAS
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Credential |
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Telephone | 913-352-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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