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General NPI Number Information
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NPI Number | 1114042181
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Entity Type | Organization
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Legal Business Name | PREFERRED MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 508 S ASH ST
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City | HILLSBORO
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State | KS
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Zip | 67063-1534
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Country | US
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Telephone | 620-947-2396
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Fax | 620-947-2590
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Provider Business Mailing Address
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Address Line | 508 S ASH ST
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City | HILLSBORO
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State | KS
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Zip | 67063-1534
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Country | US
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Telephone | 620-947-2396
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Fax | 620-947-2590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD J HETT
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Credential | MD
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Telephone | 316-268-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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