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General NPI Number Information
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NPI Number | 1295492171
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Entity Type | Organization
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Legal Business Name | SPINEMED SPECIALISTS, L.C.
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 825 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4937
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Country | US
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Telephone | 316-733-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 825 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4937
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Country | US
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Telephone | 316-733-9393
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. THOMAS FRIMPONG JR.
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Credential | DO
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Telephone | 316-733-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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