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General NPI Number Information
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NPI Number | 1245343912
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Entity Type | Organization
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Legal Business Name | WICHITA ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 9050 E 29TH ST N STE 100
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City | WICHITA
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State | KS
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Zip | 67226-2187
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Country | US
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Telephone | 316-219-9651
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Fax | 316-219-9655
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Provider Business Mailing Address
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Address Line | 9050 E 29TH ST N STE 100
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City | WICHITA
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State | KS
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Zip | 67226-2187
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Country | US
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Telephone | 316-219-9651
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Fax | 316-219-9655
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | ANNIE HADSELL
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Credential |
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Telephone | 316-613-4296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | S087017
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License Number State | KS
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