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General NPI Number Information
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NPI Number | 1811086093
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Entity Type | Organization
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Legal Business Name | MINNEOLA DISTRICT HOSPITAL NBR 2
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 222 MAIN ST
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City | MINNEOLA
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State | KS
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Zip | 67865-8511
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Country | US
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Telephone | 620-885-4202
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Fax | 620-885-4805
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | MINNEOLA
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State | KS
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Zip | 67865-0127
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Country | US
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Telephone | 620-885-4202
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Fax | 620-885-4805
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH BRUNER
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Credential |
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Telephone | 620-885-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H013002
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | H013002
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License Number State | KS
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