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General NPI Number Information
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NPI Number | 1124055165
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Entity Type | Organization
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Legal Business Name | SALINA UROLOGY CARE CENTER LLC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 216 S SANTA FE
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City | SALINA
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State | KS
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Zip | 67401
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Country | US
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Telephone | 785-827-9635
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Fax |
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Provider Business Mailing Address
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Address Line | 216 SOUTH SANTA FE AVENUE
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City | SALINA
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State | KS
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Zip | 67401
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Country | US
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Telephone | 785-827-9635
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Fax | 785-827-6697
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CRAIG C TOEWS
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Credential |
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Telephone | 785-827-9635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | S085003
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License Number State | KS
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