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General NPI Number Information
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NPI Number | 1174739734
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF CENTRAL KANSAS, CHTD.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 W IRON AVE FL 5 SUITE A
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City | SALINA
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State | KS
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Zip | 67401-2600
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Country | US
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Telephone | 785-309-0355
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Fax | 785-309-0184
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Provider Business Mailing Address
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Address Line | 119 W IRON AVE FL 5 SUITE A
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City | SALINA
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State | KS
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Zip | 67401-2600
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Country | US
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Telephone | 785-309-0355
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Fax | 785-309-0184
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. KOFI A. ABABIO
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Credential | M.D., M.P.H.
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Telephone | 785-309-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 04-28506
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License Number State | KS
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