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General NPI Number Information
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NPI Number | 1770629602
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Entity Type | Organization
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Legal Business Name | KANSAS UNIVERSITY PHYSICIANS INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | LANDON CENTER ON AGING MAIL STOP 2012 3599 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-5273
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD 4070 DELP MAIL STOP 4017
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-5273
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT ADMINISTRATOR
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Name | ABE TEFERRA
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Credential |
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Telephone | 913-588-5273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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