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NPI 1528170560

NPI 1528170560 : ALLIED MEDICAL PA : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1528170560
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIED MEDICAL PA 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    04/27/2009
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Provider Practice Location Address
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    Address Line         |    8620 E 32ND CT N 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67226-4007
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    Country              |    US
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    Telephone            |    316-612-0600
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    Fax                  |    316-612-1140
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Provider Business Mailing Address
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    Address Line         |    8620 E 32ND CT N 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67226-4007
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    Country              |    US
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    Telephone            |    316-612-0600
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    Fax                  |    316-612-1140
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. ARMANDO  BABCOCK 
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    Credential           |    D.C.
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    Telephone            |    316-612-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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