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General NPI Number Information
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NPI Number | 1699089110
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Entity Type | Organization
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Legal Business Name | PHILIP J. BEGGS, OD
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 2357 N MAIZE RD STE. 103
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City | WICHITA
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State | KS
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Zip | 67205
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Country | US
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Telephone | 316-558-8151
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Fax | 316-558-8044
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Provider Business Mailing Address
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Address Line | 2357 N MAIZE RD STE. 103
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City | WICHITA
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State | KS
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Zip | 67205
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Country | US
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Telephone | 316-558-8151
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Fax | 316-558-8044
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILIP J BEGGS
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Credential | O.D.
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Telephone | 316-558-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1803
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License Number State | KS
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