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General NPI Number Information
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NPI Number | 1730286733
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Entity Type | Organization
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Legal Business Name | KC PULMONARY ASSOCIATES, INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16663 MIDLAND DR SUITE 100
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City | SHAWNEE
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State | KS
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Zip | 66217-3042
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Country | US
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Telephone | 913-268-5400
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Fax | 913-268-5410
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Provider Business Mailing Address
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Address Line | PO BOX 25787
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City | SHAWNEE MISSION
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State | KS
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Zip | 66225-5787
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Country | US
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Telephone | 913-268-5400
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Fax | 913-268-5410
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Authorized Official
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Title or Position | OWNER
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Name | DR. SABATO A SISILLO
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Credential | M.D.
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Telephone | 913-268-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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