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General NPI Number Information
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NPI Number | 1396988275
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Entity Type | Organization
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Legal Business Name | CARLO JURANI MD LLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 8901 W 74TH ST SUITE 124
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-2204
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Country | US
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Telephone | 913-362-9444
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Fax | 913-362-9399
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Provider Business Mailing Address
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Address Line | 8901 W 74TH ST SUITE 124
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City | SHAWNEE MISSION
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State | KS
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Zip | 66204-2204
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Country | US
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Telephone | 913-362-9444
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Fax | 913-362-9399
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Authorized Official
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Title or Position | MANAGER
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Name | SUSAN TALLENT
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Credential |
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Telephone | 913-362-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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