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General NPI Number Information
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NPI Number | 1558057661
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Entity Type | Organization
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Legal Business Name | ASCENTIST EMERGENCY PHYSICIANS, LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2800 E ROCK HAVEN RD
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City | HARRISONVILLE
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State | MO
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Zip | 64701-4411
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Country | US
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Telephone | 816-548-2600
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Fax | 816-875-2598
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Provider Business Mailing Address
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Address Line | 4860 COLLEGE BLVD STE 201
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1681
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Country | US
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Telephone | 913-914-2646
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Fax |
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Authorized Official
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Title or Position | RESIDENT AGENT
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Name | PETER LAMPE
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Credential | MD
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Telephone | 913-728-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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