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General NPI Number Information
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NPI Number | 1710068382
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Entity Type | Organization
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Legal Business Name | KANSAS CITY FOOT SPECIALISTS, PA
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 7230 W 129TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2624
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Country | US
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Telephone | 913-338-4440
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Fax | 913-338-1712
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Provider Business Mailing Address
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Address Line | 7230 W 129TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2624
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Country | US
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Telephone | 913-338-4440
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Fax | 913-338-1712
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID B. LAHA
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Credential | DPM
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Telephone | 913-338-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 12-00201
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License Number State | KS
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