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General NPI Number Information
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NPI Number | 1477547727
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Entity Type | Organization
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Legal Business Name | KANSAS GASTROENTEROLOGY LLC
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 3121 N WEBB RD STE 101
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City | WICHITA
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State | KS
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Zip | 67226-8119
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Country | US
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Telephone | 316-261-3130
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Fax | 316-261-3275
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Provider Business Mailing Address
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Address Line | 3121 N WEBB RD STE 101
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City | WICHITA
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State | KS
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Zip | 67226-8119
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Country | US
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Telephone | 316-261-3130
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Fax | 316-261-3275
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. ESTEPHAN N ZAYAT
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Credential | MD
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Telephone | 316-261-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | KS
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