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General NPI Number Information
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NPI Number | 1104962182
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Entity Type | Individual
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Provider Name | MARK WITACZACK DO
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 629 S PLUMMER
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City | CHANUTE
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State | KS
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Zip | 66720
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Country | US
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Telephone | 316-321-5900
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Fax | 316-321-4763
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Provider Business Mailing Address
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Address Line | PO BOX 662
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City | CHANUTE
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State | KS
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Zip | 66720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 05-20132
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License Number State | KS
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