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General NPI Number Information
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NPI Number | 1336644194
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Entity Type | Individual
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Provider Name | CHRISTOPHER SCOTT HAVEY DO
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 929 N SAINT FRANCIS AVE
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-268-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 12115 W HUNTERS VIEW ST
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City | WICHITA
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State | KS
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Zip | 67235-1221
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Country | US
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Telephone | 316-655-8852
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125.072121
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 05-46140
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License Number State | KS
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