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General NPI Number Information
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NPI Number | 1497617286
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Entity Type | Organization
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Legal Business Name | CENTRAL CARE PA
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 720 W CENTRAL AVE
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City | EL DORADO
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State | KS
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Zip | 67042-2112
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Country | US
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Telephone | 316-321-8780
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | SALINA
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State | KS
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Zip | 67402-0256
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Country | US
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Telephone | 785-823-0633
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | CANDICE EVANS
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Credential |
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Telephone | 620-603-8846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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