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General NPI Number Information
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NPI Number | 1215749189
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Entity Type | Organization
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Legal Business Name | KANSAS MOBILE HEALTHCARE LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 14748 SW 230TH ST
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City | DOUGLASS
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State | KS
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Zip | 67039-8127
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Country | US
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Telephone | 316-323-1400
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Fax | 316-323-1402
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Provider Business Mailing Address
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Address Line | 14748 SW 230TH ST
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City | DOUGLASS
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State | KS
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Zip | 67039-8127
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Country | US
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Telephone | 316-323-1400
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Fax | 316-323-1402
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Authorized Official
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Title or Position | PARTIAL OWNER
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Name | MICHA WEBB
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Credential | NP
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Telephone | 316-249-7715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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