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General NPI Number Information
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NPI Number | 1568991826
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Entity Type | Organization
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Legal Business Name | KANSAS TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3536 W 2ND ST N # 503
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City | WICHITA
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State | KS
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Zip | 67203
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Country | US
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Telephone | 316-633-5696
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Fax | 316-462-0766
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Provider Business Mailing Address
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Address Line | 3536 W 2ND ST N APT 503
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City | WICHITA
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State | KS
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Zip | 67203-5273
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Country | US
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Telephone | 316-633-5696
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Fax | 316-462-0766
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Authorized Official
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Title or Position | OWNER/ DRIVER
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Name | MR. TOMMY ROSS SR.
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Credential |
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Telephone | 316-633-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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