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General NPI Number Information
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NPI Number | 1104969468
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Entity Type | Organization
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Legal Business Name | SENECA HEALTHCARE GROUP INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 8415 E 32ND ST N
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City | WICHITA
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State | KS
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Zip | 67226-2607
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Country | US
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Telephone | 316-267-4663
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Fax | 316-522-2551
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Provider Business Mailing Address
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Address Line | 8415 E 32ND ST N
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City | WICHITA
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State | KS
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Zip | 67226-2607
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Country | US
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Telephone | 316-267-4663
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Fax | 316-522-2551
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Authorized Official
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Title or Position | CORPORATE COMPLIANCE OFFICER
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Name | CLARICE J POWERS
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Credential | RN, PHD
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Telephone | 316-267-4663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 200374750B
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License Number State | KS
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