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General NPI Number Information
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NPI Number | 1750538021
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Entity Type | Organization
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Legal Business Name | EMPORIA HEALTH CARE LLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 3021 EAGLECREST DR
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City | EMPORIA
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State | KS
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Zip | 66801-6193
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Country | US
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Telephone | 620-481-1317
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Fax | 620-342-3602
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Provider Business Mailing Address
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Address Line | 920 COMMERCIAL ST
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City | EMPORIA
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State | KS
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Zip | 66801-2917
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Country | US
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Telephone | 620-481-1317
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Fax | 620-342-3602
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Authorized Official
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Title or Position | OWNER
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Name | KARA E EULER
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Credential |
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Telephone | 620-481-1317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | KS6300
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License Number State | KS
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