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General NPI Number Information
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NPI Number | 1215125372
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Entity Type | Organization
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Legal Business Name | PLAINSMEN HEALTH SERVICES INC.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 14000 23RD ST SUITE 1A
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City | PERRY
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State | KS
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Zip | 66073-4046
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Country | US
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Telephone | 785-218-1694
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221 14000 23RD STREET SUITE 1A
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City | PERRY
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State | KS
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Zip | 66073-0221
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Country | US
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Telephone | 785-218-5077
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARYPAT BLUM DWYER
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Credential | ARNP
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Telephone | 785-218-1694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 45960
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License Number State | KS
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