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General NPI Number Information
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NPI Number | 1629162326
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS IMAGING, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 8200 W CENTRAL AVE STE 1
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City | WICHITA
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State | KS
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Zip | 67212-3661
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Country | US
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Telephone | 316-204-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 320 N TERRACE DR
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City | WICHITA
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State | KS
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Zip | 67208-3944
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Country | US
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Telephone | 316-204-1029
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT M. MCFARLAND
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Credential |
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Telephone | 316-204-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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