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General NPI Number Information
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NPI Number | 1336746148
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Entity Type | Organization
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Legal Business Name | KANSAS CITY EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 3500 S 4TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5043
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Country | US
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Telephone | 973-251-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 GREEN RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-1598
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KAREN VAUGHN
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Credential |
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Telephone | 973-251-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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