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General NPI Number Information
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NPI Number | 1801499553
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE ASSOCIATES LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 700 W CENTRAL AVE
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City | EL DORADO
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State | KS
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Zip | 67042-2184
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Country | US
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Telephone | 800-903-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 COLLEGE BLVD STE 400
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1880
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Country | US
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Telephone | 800-903-2088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON BURK
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Credential |
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Telephone | 800-903-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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