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General NPI Number Information
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NPI Number | 1689710519
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Entity Type | Organization
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Legal Business Name | KANSAS UNIVERSITY PHYSICIANS INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 2162 KU MEDICAL CENTER MAIL STOP 4032 3901RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-6830
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD 4070 DELP MAIL STOP 4017
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-6830
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT ADMINISTRATOR
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Name | CLIFFORD GRAY
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Credential |
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Telephone | 913-588-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology 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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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