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General NPI Number Information
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NPI Number | 1609594712
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Entity Type | Organization
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Legal Business Name | ALEDADE CARE SOLUTIONS OF KANSAS, P.A.
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 4550 MONTGOMERY AVE STE 950N
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City | BETHESDA
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State | MD
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Zip | 20814-3339
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Country | US
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Telephone | 844-629-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 COLLEGE BLVD STE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA CHENNELL
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Credential |
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Telephone | 620-480-9597
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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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