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General NPI Number Information
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NPI Number | 1356498927
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Entity Type | Organization
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Legal Business Name | MID AMERICA CARDIAC CONSULTANTS P.A.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1431 BLUFFVIEW ST SUITE 112
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City | WICHITA
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State | KS
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Zip | 67218-3039
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Country | US
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Telephone | 316-688-0321
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Fax | 316-688-0728
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Provider Business Mailing Address
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Address Line | 1431 BLUFFVIEW ST SUITE 112
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City | WICHITA
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State | KS
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Zip | 67218-3039
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Country | US
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Telephone | 316-688-0321
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Fax | 316-688-0728
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAIME MELEAN
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Credential | M.D.
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Telephone | 316-688-0321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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