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General NPI Number Information
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NPI Number | 1255632840
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Entity Type | Organization
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Legal Business Name | CAH ACQUISITION COMPANY 2 LLC
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 429 MAPLE STREET BOX 106
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City | CHETOPA
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State | KS
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Zip | 67336
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Country | US
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Telephone | 620-236-7351
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Fax | 620-236-7976
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Provider Business Mailing Address
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Address Line | 800 BARKER DRIVE
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City | OSWEGO
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State | KS
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Zip | 67356-9033
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Country | US
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Telephone | 620-236-7351
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Fax | 620-236-7976
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Authorized Official
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Title or Position | CEO
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Name | BILLY D COCHRAN
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Credential |
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Telephone | 620-795-2921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | H050003
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License Number State | KS
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