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General NPI Number Information
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NPI Number | 1669265914
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS COGNITION
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 801 E DOUGLAS AVE STE 200
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 316-361-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 801 E DOUGLAS AVE STE 200
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 316-361-6885
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | PHILIP LOUIS RAMBO
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Credential | PHD
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Telephone | 918-289-8186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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