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General NPI Number Information
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NPI Number | 1134554314
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS OF CHEYENNE COUNTY INC.
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 210 W FIRST
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City | ST. FRANCIS
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State | KS
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Zip | 67756-0547
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Country | US
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Telephone | 785-332-2104
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Fax | 785-332-3255
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Provider Business Mailing Address
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Address Line | 210 W FIRST
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City | ST FRANCIS
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State | KS
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Zip | 67756-0547
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Country | US
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Telephone | 785-332-2104
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Fax | 785-332-3255
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Authorized Official
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Title or Position | CEO
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Name | JEREMY MICHAEL CLINGENPEEL
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Credential |
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Telephone | 785-332-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | H-012-001
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License Number State | KS
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