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General NPI Number Information
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NPI Number | 1770581480
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Entity Type | Organization
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Legal Business Name | LABETTE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 400 KATY AVE
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City | PARSONS
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State | KS
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Zip | 67357-2451
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Country | US
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Telephone | 620-421-2700
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Fax | 620-421-8135
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Provider Business Mailing Address
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Address Line | 400 KATY AVE
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City | PARSONS
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State | KS
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Zip | 67357-2451
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Country | US
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Telephone | 620-421-2700
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Fax | 620-421-8135
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Authorized Official
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Title or Position | CFO
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Name | THOMAS L MACARONAS
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Credential |
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Telephone | 620-820-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | KS
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