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General NPI Number Information
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NPI Number | 1295792869
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Entity Type | Organization
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Legal Business Name | COUNTY OF STANTON
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 101 S FRONTAGE ROAD
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City | JOHNSON
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State | KS
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Zip | 67855-0572
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Country | US
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Telephone | 620-492-6879
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Fax | 620-492-1445
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Provider Business Mailing Address
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Address Line | BOX 572 101 S. FRONTAGE ROAD
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City | JOHNSON
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State | KS
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Zip | 67855-0572
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Country | US
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Telephone | 620-492-6879
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Fax | 620-492-1445
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROGER L RICHARDSON
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Credential |
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Telephone | 620-492-6879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1860
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License Number State | KS
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