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General NPI Number Information
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NPI Number | 1225001530
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Entity Type | Organization
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Legal Business Name | SUHAIL ANSARI, MD, CHARTERED
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 2138 N KANSAS AVE
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City | LIBERAL
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State | KS
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Zip | 67901-2012
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Country | US
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Telephone | 620-624-6222
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Fax | 620-624-5413
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Provider Business Mailing Address
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Address Line | 2138 N KANSAS AVE
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City | LIBERAL
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State | KS
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Zip | 67901-2012
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Country | US
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Telephone | 620-624-6222
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Fax | 620-624-5413
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUHAIL ANSARI
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Credential | MD
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Telephone | 620-624-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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