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NPI 1073926523

NPI 1073926523 : HYLO URGENT CARE CLINICS, P.A. : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1073926523
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    Entity Type          |    Organization 
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    Legal Business Name  |    HYLO URGENT CARE CLINICS, P.A. 
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Dates
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    Enumeration Date     |    06/03/2014
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    5838 E CENTRAL AVE 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67208-4203
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    Country              |    US
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    Telephone            |    316-440-4595
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    Fax                  |    316-440-4596
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Provider Business Mailing Address
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    Address Line         |    4722 W KELLOGG DR 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67209-2508
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    Country              |    US
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    Telephone            |    316-440-2565
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    Fax                  |    316-440-2750
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAMEN WAYNE HERSHBERGER 
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    Credential           |    MD
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    Telephone            |    316-687-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    KS
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