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General NPI Number Information
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NPI Number | 1245558170
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Entity Type | Organization
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Legal Business Name | LENTZ FAMILY GROUP CORP
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 100 E COLLEGE DR
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City | COLBY
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State | KS
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Zip | 67701-3702
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Country | US
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Telephone | 877-625-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 5559 NW BARRY RD # 109
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City | KANSAS CITY
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State | MO
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Zip | 64154-1408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON LENTZ
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Credential |
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Telephone | 877-625-9232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | KS
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