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General NPI Number Information
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NPI Number | 1174610356
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF PITTSBURG
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1011 S MOUNT CARMEL PL
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City | PITTSBURG
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State | KS
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Zip | 66762-6604
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Country | US
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Telephone | 620-232-2270
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Fax | 620-231-1378
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Provider Business Mailing Address
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Address Line | 1011 S MOUNT CARMEL PL
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City | PITTSBURG
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State | KS
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Zip | 66762-6604
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Country | US
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Telephone | 620-232-2270
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Fax | 620-231-1378
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Authorized Official
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Title or Position | F.A.P.A F.A.A.P.S.
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Name | DR. JOHN P WHITE
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Credential | DO
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Telephone | 620-232-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 05-16917
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License Number State | KS
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