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NPI 1376539502

NPI 1376539502 : VIA CHRISTI HOSPITALS WICHITA, INC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1376539502
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIA CHRISTI HOSPITALS WICHITA, INC 
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Dates
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    Enumeration Date     |    09/22/2005
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    Last Update Date     |    04/20/2012
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Provider Practice Location Address
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    Address Line         |    707 N EMPORIA ST SUITE E
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67214-3707
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    Country              |    US
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    Telephone            |    316-858-3460
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    Fax                  |    316-858-3458
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1897 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67201-1897
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    Country              |    US
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    Telephone            |    316-268-8131
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    Fax                  |    316-291-4788
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Authorized Official
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    Title or Position    |    COO
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    Name                 |    MS. LAURIE A LABARCA 
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    Credential           |    
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    Telephone            |    316-268-5161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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