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General NPI Number Information
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NPI Number | 1144792862
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Entity Type | Organization
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Legal Business Name | CAPSTONE ORTHOPEDICS & SPORTS MEDICINE
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 1818 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1106
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Country | US
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Telephone | 620-259-2325
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Fax | 620-259-2337
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Provider Business Mailing Address
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Address Line | 1818 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1106
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Country | US
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Telephone | 620-259-2325
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Fax | 620-259-2337
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Authorized Official
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Title or Position | MD
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Name | JONATHAN LOEWEN
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Credential | MD
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Telephone | 620-259-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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