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General NPI Number Information
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NPI Number | 1083286728
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Entity Type | Organization
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Legal Business Name | ABBAS FAMILY MEDICINE
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 2508 EDGEMONT DR STE 2
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-3844
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Country | US
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Telephone | 620-442-7120
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 857
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-0857
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Country | US
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Telephone | 620-442-7120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACEY JERVIS
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Credential |
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Telephone | 620-442-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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