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General NPI Number Information
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NPI Number | 1669464087
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Entity Type | Organization
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Legal Business Name | COUNTY OF RAWLINS
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 216 S. 4TH STREET
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City | ATWOOD
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State | KS
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Zip | 67730
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Country | US
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Telephone | 785-626-3968
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Fax | 785-626-3876
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Provider Business Mailing Address
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Address Line | 216 S. 4TH STREET
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City | ATWOOD
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State | KS
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Zip | 67730
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Country | US
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Telephone | 785-626-3968
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Fax | 785-626-3876
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY K CLARK
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Credential |
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Telephone | 785-626-3968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 48-6029925
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License Number State | KS
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