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General NPI Number Information
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NPI Number | 1235602327
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Entity Type | Organization
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Legal Business Name | ATLAS MD CONCIERGE FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 10500 E BERKELEY SQUARE PKWY STE 200
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City | WICHITA
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State | KS
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Zip | 67206-6816
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Country | US
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Telephone | 316-260-6454
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Fax | 316-260-8479
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Provider Business Mailing Address
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Address Line | 10500 E BERKELEY SQUARE PKWY STE 200
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City | WICHITA
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State | KS
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Zip | 67206-6816
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Country | US
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Telephone | 316-260-6454
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Fax | 316-260-8479
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSHUA JIM UMBEHR
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Credential | MD
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Telephone | 316-260-6454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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