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General NPI Number Information
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NPI Number | 1760767339
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS OF OTTAWA CO, INC.
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 215 E 8TH ST,
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City | MINNEAPOLIS
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State | KS
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Zip | 67467-1902
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Country | US
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Telephone | 785-392-2122
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Fax | 785-392-2852
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Provider Business Mailing Address
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Address Line | P.O. BOX 290 215 E 8TH ST,
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City | MINNEAPOLIS
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State | KS
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Zip | 67467-1902
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Country | US
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Telephone | 785-392-2122
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Fax | 785-392-2852
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JODY PARKS
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Credential |
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Telephone | 785-392-9131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H072001
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License Number State | KS
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