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General NPI Number Information
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NPI Number | 1316080245
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Entity Type | Organization
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Legal Business Name | KANSAS MEDICAL CLINIC PA
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6001 SW 6TH AVE STE 320
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City | TOPEKA
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State | KS
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Zip | 66615-1006
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Country | US
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Telephone | 785-271-2256
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Fax | 785-271-2276
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Provider Business Mailing Address
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Address Line | 6001 SW 6TH AVE STE 320
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City | TOPEKA
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State | KS
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Zip | 66615-1006
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Country | US
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Telephone | 785-271-2256
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Fax | 785-271-2276
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Authorized Official
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Title or Position | MANAGER
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Name | GINA L HOPKINS
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Credential |
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Telephone | 785-228-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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