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General NPI Number Information
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NPI Number | 1770805442
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE CONSULTANTS P.A
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 310 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-2129
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Country | US
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Telephone | 316-264-3505
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Fax | 316-264-0908
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Provider Business Mailing Address
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Address Line | 310 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-2129
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Country | US
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Telephone | 316-264-3505
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Fax | 316-264-0908
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. MARGARET HAGAN
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Credential | MD
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Telephone | 316-264-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State | KS
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