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General NPI Number Information
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NPI Number | 1194041608
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Entity Type | Organization
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Legal Business Name | WICHITA ECHOCARDIOGRAPHERS LLC
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 8080 E. CENTRAL SUITE 250
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City | WICHITA
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State | KS
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Zip | 67206-2367
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Country | US
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Telephone | 316-686-7327
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Fax | 316-686-1557
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Provider Business Mailing Address
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Address Line | 8080 E. CENTRAL SUITE 250
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City | WICHITA
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State | KS
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Zip | 67206-2367
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Country | US
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Telephone | 316-686-7327
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Fax | 316-686-1557
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES PATRICK MCCOY JR.
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Credential | MD
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Telephone | 316-686-7327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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