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General NPI Number Information
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NPI Number | 1265659734
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1004 CARONDELET DR SUITE 480
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City | KANSAS CITY
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State | MO
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Zip | 64114-4802
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Country | US
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Telephone | 816-941-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 W 74TH ST STE 200
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-2204
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Country | US
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Telephone | 913-432-5052
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. KERRI LYNN PATRICK
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Credential |
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Telephone | 913-432-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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