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General NPI Number Information
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NPI Number | 1467265967
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Entity Type | Organization
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Legal Business Name | LAB CAB OF WICHITA, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 30912 W 23RD ST S
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City | GARDEN PLAIN
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State | KS
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Zip | 67050-9050
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Country | US
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Telephone | 316-223-0572
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | GARDEN PLAIN
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State | KS
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Zip | 67050-0083
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Country | US
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Telephone | 316-223-0572
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA A REGIER
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Credential |
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Telephone | 316-223-0572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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