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General NPI Number Information
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NPI Number | 1639595846
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Entity Type | Organization
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Legal Business Name | OLATHE HEALTH PHYSICIANS, INC.
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 20375 W 151ST ST SUITE 208
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City | OLATHE
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State | KS
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Zip | 66061-5306
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Country | US
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Telephone | 913-780-4000
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Fax | 913-780-4038
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Provider Business Mailing Address
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Address Line | 20333 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5350
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Country | US
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Telephone | 913-791-4461
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Fax | 913-324-8656
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Authorized Official
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Title or Position | VP/QUALITY AND COMPLIANCE
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Name | CATHERINE R. WIENS
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Credential |
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Telephone | 913-791-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology 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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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