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NPI 1174599583

NPI 1174599583 : HEALTH AND HEALING PA : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1174599583
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH AND HEALING PA 
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Dates
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    Enumeration Date     |    02/24/2006
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    Last Update Date     |    12/27/2010
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Provider Practice Location Address
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    Address Line         |    9415 E HARRY ST STE 405
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67207-5089
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    Country              |    US
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    Telephone            |    316-733-1311
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    Fax                  |    316-733-4177
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Provider Business Mailing Address
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    Address Line         |    9415 E HARRY ST STE 405
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67207-5089
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    Country              |    US
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    Telephone            |    316-733-1311
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    Fax                  |    316-733-4177
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. TERRY STRYKER MERRIFIELD 
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    Credential           |    MD
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    Telephone            |    316-733-1311
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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 |    KS
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