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General NPI Number Information
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NPI Number | 1073523452
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Entity Type | Organization
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Legal Business Name | ASCENSION MEDICAL GROUP VIA CHRISTI, PA
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 1947 N FOUNDERS ST
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City | WICHITA
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State | KS
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Zip | 67206-3548
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Country | US
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Telephone | 316-613-4931
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Fax | 316-613-4937
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Provider Business Mailing Address
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Address Line | PO BOX 8035
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City | WICHITA
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State | KS
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Zip | 67208-0035
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Country | US
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Telephone | 316-689-9135
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Fax | 316-689-9102
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Authorized Official
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Title or Position | DIRECTOR,PATIENT FINANCIAL SERVICES
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Name | SUZANN M WRIGHT
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Credential |
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Telephone | 316-719-1201
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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 | S087015
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License Number State | KS
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