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General NPI Number Information
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NPI Number | 1083436489
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Entity Type | Organization
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Legal Business Name | KANSAS BIRTH JUSTICE SOCIETY
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 220 W DOUGLAS AVE STE 15
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City | WICHITA
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State | KS
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Zip | 67202-3178
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Country | US
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Telephone | 316-305-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W DOUGLAS AVE STE 15
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City | WICHITA
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State | KS
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Zip | 67202-3178
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Country | US
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Telephone | 316-305-0030
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SAPPHIRE LIES
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Credential |
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Telephone | 316-500-0629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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