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General NPI Number Information
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NPI Number | 1528152501
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Entity Type | Individual
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Provider Name | CHRISTOPHER A BAGBY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 2102 BAPTISTE DR STE E
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City | PAOLA
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State | KS
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Zip | 66071-1314
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Country | US
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Telephone | 913-557-3800
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Fax | 913-557-5989
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Provider Business Mailing Address
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Address Line | 2102 BAPTISTE DR STE E
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City | PAOLA
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State | KS
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Zip | 66071-1314
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Country | US
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Telephone | 913-557-3800
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Fax | 913-557-5689
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 04-26156
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License Number State | KS
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