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General NPI Number Information
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NPI Number | 1417289612
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Entity Type | Organization
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Legal Business Name | MIDWEST ANESTHESIA ASSOCIATES, PA
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 7315 E FRONTAGE RD SUITE 140
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City | MERRIAM
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State | KS
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Zip | 66204-1606
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Country | US
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Telephone | 913-676-2370
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Fax | 913-676-7692
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Provider Business Mailing Address
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Address Line | 7315 E FRONTAGE RD SUITE 140
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City | MERRIAM
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State | KS
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Zip | 66204-1606
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Country | US
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Telephone | 913-676-2370
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Fax | 913-676-7692
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARYBETH MCKINZIE
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Credential |
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Telephone | 913-381-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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