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General NPI Number Information
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NPI Number | 1215075411
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Entity Type | Organization
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Legal Business Name | COUNTY OF SEDGWICK
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 1015 W STILLWELL ST
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City | WICHITA
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State | KS
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Zip | 67213-4450
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Country | US
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Telephone | 316-660-7994
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Fax | 316-383-7338
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Provider Business Mailing Address
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Address Line | 1015 W STILLWELL ST
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City | WICHITA
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State | KS
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Zip | 67213-4450
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Country | US
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Telephone | 316-660-7994
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Fax | 316-383-7338
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. SCOTT R HADLEY
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Credential | EMT-P, BSN, RN
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Telephone | 316-660-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1750
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License Number State | KS
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