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General NPI Number Information
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NPI Number | 1275074882
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Entity Type | Organization
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Legal Business Name | DISCOVER INTEGRATED MEDICINE LLC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 930 HAYES DR SUITE C
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City | MANHATTAN
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State | KS
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Zip | 66502-5721
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Country | US
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Telephone | 785-587-8989
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Fax | 785-587-8069
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Provider Business Mailing Address
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Address Line | 930 HAYES DR SUITE C
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City | MANHATTAN
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State | KS
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Zip | 66502-5721
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Country | US
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Telephone | 785-587-8989
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Fax | 785-587-8069
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Authorized Official
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Title or Position | OWNER
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Name | ADAM PAQUETTE
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Credential |
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Telephone | 785-587-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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