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General NPI Number Information
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NPI Number | 1477739803
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Entity Type | Organization
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Legal Business Name | MIDWEST DIVISION SPINE CARE LLC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 5701 W 119TH ST SUITE 215
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City | OVERLAND PARK
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State | KS
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Zip | 66209-3721
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Country | US
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Telephone | 888-942-2774
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Fax | 866-807-1897
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Provider Business Mailing Address
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Address Line | 5701 W 119TH ST SUITE 215
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City | OVERLAND PARK
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State | KS
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Zip | 66209-3721
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Country | US
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Telephone | 888-942-2774
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Fax | 866-807-1897
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Authorized Official
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Title or Position | VP
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Name | PATRICK J KUENY
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Credential |
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Telephone | 816-276-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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