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General NPI Number Information
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NPI Number | 1477948073
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Entity Type | Organization
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Legal Business Name | KANSAS CITY CARDIOLOGY
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 930 CARONDELET DR STE 201
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City | KANSAS CITY
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State | MO
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Zip | 64114-4698
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Country | US
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Telephone | 816-523-4525
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Fax |
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Provider Business Mailing Address
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Address Line | 930 CARONDELET DR STE 201
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City | KANSAS CITY
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State | MO
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Zip | 64114-4698
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Country | US
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Telephone | 816-523-4525
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | SUSAN LING
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Credential | NP
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Telephone | 913-851-4369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2015001261
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License Number State | MO
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