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General NPI Number Information
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NPI Number | 1356227417
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Entity Type | Organization
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Legal Business Name | EZ HEALTH MEDICAL GROUP MIDWEST PA
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 307 RIDGE ST STE 107
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City | TONGANOXIE
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State | KS
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Zip | 66086-9310
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Country | US
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Telephone | 385-327-2541
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 NE 123RD ST STE 314
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2883
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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 | OPERATIONS ADMINISTRATOR
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Name | NIKHIL JHUNJHNUWALA
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Credential |
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Telephone | 385-327-2541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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