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General NPI Number Information
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NPI Number | 1518009521
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Entity Type | Organization
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Legal Business Name | CITY OF PRETTY PRAIRIE
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 119 E BOOTH STREET
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City | PRETTY PRAIRIE
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State | KS
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Zip | 67570
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Country | US
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Telephone | 209-602-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 119 W MAIN ST PO BOX 68
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City | PRETTY PRAIRIE
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State | KS
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Zip | 67570
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Country | US
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Telephone | 620-459-6392
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Fax | 620-459-7354
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Authorized Official
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Title or Position | CITY CLERK
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Name | MRS. PATTI L BRACE
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Credential |
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Telephone | 620-459-6392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1580
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License Number State | KS
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