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General NPI Number Information
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NPI Number | 1447986757
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Entity Type | Organization
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Legal Business Name | MINNEOLA DISTRICT HOSPITAL NBR 2
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 200 W ROSS BLVD
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City | DODGE CITY
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State | KS
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Zip | 67801-7221
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Country | US
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Telephone | 620-371-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 212 MAIN ST
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City | MINNEOLA
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State | KS
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Zip | 67865-8511
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH BRUNER
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Credential |
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Telephone | 620-885-4264
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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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