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General NPI Number Information
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NPI Number | 1689883365
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Entity Type | Individual
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Provider Name | BRICE JAROD ZOGLEMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD. 6040 DELP, MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6005
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Fax | 913-588-3877
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD. 4070 DELP, MS 4017 KANSAS UNIVERSITY PHYSICIANS, INC.
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-6005
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Fax | 913-588-3877
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 04-37888
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0106696A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 01066961A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01066961A
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License Number State | IN
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