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General NPI Number Information
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NPI Number | 1699750273
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Entity Type | Organization
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Legal Business Name | MID-CONTINENT ANESTHESIOLOGY CHARTERED
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 550 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4910
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Country | US
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Telephone | 316-789-8444
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Fax | 316-652-0340
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Provider Business Mailing Address
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Address Line | PO BOX 47890
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City | WICHITA
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State | KS
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Zip | 67201-7890
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Country | US
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Telephone | 316-685-6112
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Fax | 316-652-0340
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. GREGORY GEORGE
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Credential | M.D.
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Telephone | 316-789-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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