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General NPI Number Information
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NPI Number | 1699334383
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Entity Type | Individual
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Provider Name | DIEGO A SAAVEDRA PA
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Gender | Male
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 293 S GREENWICH RD SUITE 300
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City | WICHITA
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State | KS
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Zip | 67207-6720
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Country | US
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Telephone | 316-517-4000
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Fax | 316-515-5110
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Provider Business Mailing Address
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Address Line | 5157 N COLONIAL AVE
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City | BEL AIRE
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State | KS
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Zip | 67226-7620
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Country | US
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Telephone | 620-271-2125
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02251
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License Number State | KS
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