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General NPI Number Information
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NPI Number | 1427915891
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Entity Type | Organization
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Legal Business Name | IMAGINE PEDIATRICS OF KANSAS, LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 220 ATHENS WAY STE 240
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City | NASHVILLE
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State | TN
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Zip | 37228-1311
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Country | US
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Telephone | 833-208-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 220 ATHENS WAY STE 240
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City | NASHVILLE
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State | TN
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Zip | 37228-1311
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Country | US
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Telephone | 833-208-7770
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | PATRICIA M. HAYES
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Credential | MD
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Telephone | 833-208-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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