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General NPI Number Information
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NPI Number | 1669527842
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Entity Type | Organization
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Legal Business Name | NORTHWEST KANSAS AAA
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 510 W 29TH ST STE B
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City | HAYS
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State | KS
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Zip | 67601-1728
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Country | US
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Telephone | 785-628-8204
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Fax | 785-628-6096
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Provider Business Mailing Address
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Address Line | 510 W 29TH ST STE B P O BOX 610
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City | HAYS
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State | KS
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Zip | 67601-1728
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Country | US
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Telephone | 785-628-8204
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Fax | 785-628-6096
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Authorized Official
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Title or Position | FISCAL DIRECTOR
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Name | PATRICIA MCNEILL
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Credential |
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Telephone | 785-628-8204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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