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General NPI Number Information
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NPI Number | 1447598511
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Entity Type | Organization
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Legal Business Name | MAYFLOWER CLINIC INC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 401 E 1ST ST
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City | WICHITA
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State | KS
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Zip | 67202-2501
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Country | US
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Telephone | 316-558-3991
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Fax | 316-558-3992
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Provider Business Mailing Address
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Address Line | 401 E 1ST ST
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City | WICHITA
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State | KS
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Zip | 67202-2501
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Country | US
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Telephone | 316-558-3991
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Fax | 316-558-3992
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Authorized Official
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Title or Position | CEO
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Name | CHELSEA FRENCH
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Credential |
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Telephone | 316-259-5927
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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