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General NPI Number Information
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NPI Number | 1619894102
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH CENTRA CARE OF KANSAS, INC.
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Dates
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Enumeration Date | 07/04/2026
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Last Update Date | 07/04/2026
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Provider Practice Location Address
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Address Line | 11245 SHAWNEE MISSION PKWY
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City | SHAWNEE
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State | KS
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Zip | 66203-3308
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Country | US
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Telephone | 913-268-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7107
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Country | US
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Telephone | 407-200-2300
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MATTHEW BRICE
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Credential |
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Telephone | 407-200-2839
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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