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General NPI Number Information
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NPI Number | 1134665458
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Entity Type | Organization
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Legal Business Name | KANSAS CLINICAL IMPROVEMENT COLLABORATIVE, LLC
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 2501 E 13TH ST BUILDING 1, SUITE 1
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City | HAYS
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State | KS
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Zip | 67601-2764
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Country | US
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Telephone | 785-650-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 E 13TH ST BUILDING 1, SUITE 1
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City | HAYS
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State | KS
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Zip | 67601-2764
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Country | US
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Telephone | 785-650-2860
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBERT MOSER
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Credential | MD
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Telephone | 785-650-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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