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General NPI Number Information
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NPI Number | 1316937428
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Entity Type | Organization
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Legal Business Name | WICHITA COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 211 EAST EARL
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City | LEOTI
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State | KS
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Zip | 67861-9802
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Country | US
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Telephone | 620-375-2233
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Fax | 620-375-2646
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Provider Business Mailing Address
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Address Line | 211 EAST EARL
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City | LEOTI
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State | KS
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Zip | 67861-9504
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Country | US
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Telephone | 620-375-2233
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Fax | 620-375-2646
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Authorized Official
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Title or Position | CFO
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Name | MRS. AMANDA BAKER
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Credential |
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Telephone | 620-375-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | H102001
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License Number State |
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