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General NPI Number Information
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NPI Number | 1740781848
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Entity Type | Organization
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Legal Business Name | MEDLEN FAMILY CARE
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 103 N SILVER ST STE D
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City | PAOLA
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State | KS
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Zip | 66071-1498
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Country | US
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Telephone | 913-388-3631
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Fax | 833-449-2017
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Provider Business Mailing Address
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Address Line | 23896 W 295TH ST
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City | PAOLA
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State | KS
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Zip | 66071-5305
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Country | US
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Telephone | 913-388-3631
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Fax | 833-449-2017
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Authorized Official
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Title or Position | OWNER /OPERATOR
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Name | HOLLY ANN MEDLEN
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Credential | APRN, FNP-C
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Telephone | 913-388-3631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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