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General NPI Number Information
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NPI Number | 1477508323
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Entity Type | Organization
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Legal Business Name | VILLAGE PEDIATRICS, LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 8340 MISSION RD SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66206-1355
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Country | US
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Telephone | 913-642-2100
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Fax | 913-642-2127
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Provider Business Mailing Address
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Address Line | 8340 MISSION RD SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66206-1355
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Country | US
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Telephone | 913-642-2100
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Fax | 913-642-2127
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JANICE ANN CHERNER
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Credential |
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Telephone | 913-642-2100
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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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