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General NPI Number Information
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NPI Number | 1508113622
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Entity Type | Organization
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Legal Business Name | PRECISION SPINE & ORTHOPAEDIC SPECIALISTS, LLC
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 10777 NALL AVE SUITE 120
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1362
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Country | US
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Telephone | 913-387-2800
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Fax | 913-387-2970
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Provider Business Mailing Address
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Address Line | 10777 NALL AVE SUITE 120
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1362
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Country | US
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Telephone | 913-387-2800
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Fax | 913-387-2970
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. AMY L STEHLI
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Credential |
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Telephone | 913-387-2800
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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 | KS
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