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General NPI Number Information
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NPI Number | 1164765996
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Entity Type | Individual
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Provider Name | WILLIAM E POULSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | UNIVERSITY OF KANSAS HEALTH SYSTEM, 4000 CAMBRIDGE
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City | KANSAS CITY
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State | KS
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Zip | 61660
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Country | US
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Telephone | 913-588-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 NALL AVE STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1299
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Country | US
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Telephone | 913-522-0478
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 7022
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 04-45754
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 04-45754
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License Number State | KS
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