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General NPI Number Information
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NPI Number | 1437358652
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Entity Type | Organization
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Legal Business Name | NANCY G. POWERS, MD, LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 509 N LORRAINE ST
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City | WICHITA
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State | KS
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Zip | 67214-4836
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Country | US
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Telephone | 316-304-2653
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Fax | 316-260-9127
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Provider Business Mailing Address
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Address Line | 509 N LORRAINE ST
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City | WICHITA
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State | KS
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Zip | 67214-4836
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Country | US
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Telephone | 316-304-2653
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Fax | 316-260-9127
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Authorized Official
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Title or Position | MEMBER
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Name | DR. NANCY G POWERS
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Credential | MD
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Telephone | 316-304-2653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3822319
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License Number State | KS
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