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General NPI Number Information
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NPI Number | 1578370565
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SURGEONS, P.A.
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 12200 W 106TH ST STE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66215-2305
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Country | US
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Telephone | 816-459-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2790 CLAY EDWARDS DR STE 650
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City | KANSAS CITY
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State | MO
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Zip | 64116-3279
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Country | US
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Telephone | 816-559-6531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN DALE CORNETT
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Credential |
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Telephone | 816-559-6531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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