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General NPI Number Information
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NPI Number | 1538195870
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Entity Type | Organization
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Legal Business Name | CAPSULE ENDOSCOPY SERVICES, LLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2021 N AMIDON AVE SUITE 13
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City | WICHITA
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State | KS
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Zip | 67203-2100
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Country | US
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Telephone | 877-502-1209
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Fax | 877-219-2990
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Provider Business Mailing Address
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Address Line | PO BOX 2615
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City | WICHITA
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State | KS
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Zip | 67201-2615
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Country | US
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Telephone | 877-502-1209
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Fax | 877-219-2990
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Authorized Official
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Title or Position | COO
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Name | MRS. TEVRA VENN
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Credential |
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Telephone | 877-502-1209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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