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General NPI Number Information
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NPI Number | 1497802896
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH & CONTINENCE CENTER
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7015 E CENTRAL AVE STE. #100
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City | WICHITA
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State | KS
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Zip | 67206-1943
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Country | US
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Telephone | 316-260-3950
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Fax | 316-260-3953
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Provider Business Mailing Address
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Address Line | 7015 E CENTRAL AVE STE. #100
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City | WICHITA
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State | KS
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Zip | 67206-1943
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Country | US
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Telephone | 316-260-3950
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Fax | 316-260-3953
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID BRYANT SHUCK
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Credential | DO
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Telephone | 316-260-3950
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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 | 0523677
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License Number State | KS
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