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General NPI Number Information
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NPI Number | 1073972170
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Entity Type | Organization
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Legal Business Name | LEILA GALBRAITH MCKENZIE DPM LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 758 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-3020
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Country | US
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Telephone | 316-686-2106
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Fax | 316-686-5974
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Provider Business Mailing Address
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Address Line | 758 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-3020
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Country | US
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Telephone | 316-686-2106
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Fax | 316-686-5974
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Authorized Official
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Title or Position | OWNER
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Name | LEILA M MCKENZIE
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Credential | DPM
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Telephone | 316-686-2106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 12-00405
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License Number State | KS
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