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General NPI Number Information
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NPI Number | 1790748580
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Entity Type | Organization
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Legal Business Name | MIDWEST PATHOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 8005 W 110TH ST STE 200
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2619
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Country | US
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Telephone | 913-341-6297
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Fax | 913-663-0191
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Provider Business Mailing Address
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Address Line | PO BOX 26827
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City | OVERLAND PARK
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State | KS
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Zip | 66225-6827
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Country | US
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Telephone | 913-341-6297
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Fax | 913-663-0191
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUSSELL LEE BENSON
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Credential | M.D,
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Telephone | 913-341-6297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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