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General NPI Number Information
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NPI Number | 1306071303
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Entity Type | Organization
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Legal Business Name | PREFERRED MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 848 N SAINT FRANCIS ST STE. 2968
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City | WICHITA
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State | KS
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Zip | 67214-3800
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Country | US
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Telephone | 316-269-1717
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Fax | 316-291-7317
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Provider Business Mailing Address
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Address Line | 848 N SAINT FRANCIS ST STE. 2968
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City | WICHITA
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State | KS
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Zip | 67214-3800
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Country | US
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Telephone | 316-269-1717
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Fax | 316-291-7317
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD J HETT
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Credential | MD
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Telephone | 316-268-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 04-33591
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License Number State | KS
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