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General NPI Number Information
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NPI Number | 1245613041
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Entity Type | Individual
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Provider Name | AMEL KOMIC M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2237 KEYSTONE CIR
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City | ANDOVER
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State | KS
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Zip | 67002-8742
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Country | US
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Telephone | 316-616-6272
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Fax | 316-616-0407
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Provider Business Mailing Address
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Address Line | 1120 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-2503
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 04-52512
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License Number State | KS
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