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General NPI Number Information
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NPI Number | 1356974679
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Entity Type | Organization
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Legal Business Name | WOUND INTEGRITY KANSAS PA
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 8500 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1837
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Country | US
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Telephone | 913-303-7646
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Fax | 913-273-3093
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Provider Business Mailing Address
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Address Line | 1 CHISHOLM TRAIL RD STE 5200
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City | ROUND ROCK
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State | TX
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Zip | 78681-5090
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Country | US
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Telephone | 512-202-3830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAN HULEN
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Credential | MD
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Telephone | 214-945-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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