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General NPI Number Information
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NPI Number | 1114961422
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Entity Type | Individual
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Provider Name | EDWARD N LETOURNEAU MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 901 SW GARFIELD AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1670
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Country | US
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Telephone | 785-354-9591
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Fax | 785-368-0478
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Provider Business Mailing Address
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Address Line | 901 SW GARFIELD AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1670
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Country | US
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Telephone | 785-354-9591
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Fax | 785-368-0478
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 04-25712
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License Number State | KS
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