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General NPI Number Information
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NPI Number | 1558879320
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Entity Type | Organization
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Legal Business Name | OLATHE HEALTH PHYSICIANS, INC.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 830 E MAIN ST
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City | GARDNER
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State | KS
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Zip | 66030
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Country | US
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Telephone | 913-390-6666
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Fax | 913-856-4330
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Provider Business Mailing Address
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Address Line | 20333 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5350
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Country | US
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Telephone | 913-791-4200
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Fax | 913-791-4458
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Authorized Official
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Title or Position | VICE PRESIDENT/QUALITY & COMPLIANCE
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Name | CATHERINE R. WIENS
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Credential |
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Telephone | 913-791-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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