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General NPI Number Information
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NPI Number | 1073293650
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Entity Type | Organization
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Legal Business Name | GERIATRIC INPATIENT SERVICES OF KANSAS LLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 7447 W VILLAGE CIR
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City | WICHITA
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State | KS
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Zip | 67205-2625
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Country | US
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Telephone | 316-372-8892
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Fax |
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Provider Business Mailing Address
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Address Line | 2918 N PARKDALE CT
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City | WICHITA
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State | KS
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Zip | 67205-6039
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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 | MEDICAL DIRECTOR
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Name | DR. ALISON RAYMOND
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Credential | MD
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Telephone | 316-285-3705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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