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General NPI Number Information
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NPI Number | 1366031403
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Entity Type | Individual
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Provider Name | CORWIN NOZARI PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 12112 W KELLOGG ST
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City | WICHITA
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State | KS
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Zip | 67235-1100
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Country | US
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Telephone | 316-630-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-9907
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Country | US
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Telephone | 620-665-2000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | KS
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