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General NPI Number Information
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NPI Number | 1568823524
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Entity Type | Organization
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Legal Business Name | CITY OF GALENA - KANSAS
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 198 FOUR STATES DR SUITE 8
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City | GALENA
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State | KS
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Zip | 66739-4304
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Country | US
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Telephone | 620-461-0101
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Fax | 620-461-0105
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Provider Business Mailing Address
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Address Line | 1619 K66
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City | GALENA
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State | KS
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Zip | 66739-4306
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Country | US
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Telephone | 620-783-1732
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Fax | 620-783-4686
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH M CAPUTO
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Credential |
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Telephone | 620-783-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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