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General NPI Number Information
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NPI Number | 1083822712
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Entity Type | Organization
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Legal Business Name | TALLGRASS PRAIRIE SURGICAL SPECIALISTS, PA
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6001 SW 6TH AVE STE 220
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City | TOPEKA
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State | KS
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Zip | 66615-1006
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Country | US
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Telephone | 785-232-0444
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Fax | 785-232-1562
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Provider Business Mailing Address
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Address Line | 6001 SW 6TH AVE STE 220
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City | TOPEKA
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State | KS
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Zip | 66615-1006
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Country | US
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Telephone | 785-232-0444
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Fax | 785-232-1562
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Authorized Official
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Title or Position | OWNER
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Name | GARY L MCKNIGHT
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Credential | AUD
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Telephone | 785-232-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | KS
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