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General NPI Number Information
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NPI Number | 1730153008
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Entity Type | Organization
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Legal Business Name | WICHITA PSYCHIATRIC CONSULTANTS LLC
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9415 EAST HARRY BLDG 800
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City | WICHITA
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State | KS
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Zip | 67207-5072
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Country | US
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Telephone | 316-686-6303
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Fax | 316-686-6764
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Provider Business Mailing Address
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Address Line | PO BOX 26303
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-0303
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Country | US
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Telephone | 316-686-6303
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Fax | 316-686-6764
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Authorized Official
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Title or Position | INSURANCE CREDENTIALING MANAGER
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Name | MS. SUZANNE TURCK
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Credential |
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Telephone | 316-686-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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