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General NPI Number Information
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NPI Number | 1548991839
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Entity Type | Organization
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Legal Business Name | ALIGN FAMILY HEALTH & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 06/18/2022
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12616 W 62ND TER STE 112
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City | SHAWNEE
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State | KS
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Zip | 66216-1863
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Country | US
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Telephone | 913-225-9783
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Fax | 913-215-9358
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Provider Business Mailing Address
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Address Line | 12616 W 62ND TER STE 112
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City | SHAWNEE
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State | KS
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Zip | 66216-1863
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Country | US
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Telephone | 913-225-9783
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Fax | 913-215-9358
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Authorized Official
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Title or Position | DIRECTOR
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Name | PATRICK MUCHINA
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Credential | MSN APRN FNP-C
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Telephone | 913-225-9783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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