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General NPI Number Information
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NPI Number | 1821260183
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Entity Type | Organization
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Legal Business Name | HYLO URGENT CARE CLINICS, P.A.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 4722 W KELLOGG DR
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City | WICHITA
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State | KS
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Zip | 67209-2508
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Country | US
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Telephone | 316-440-2565
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Fax | 316-440-2750
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Provider Business Mailing Address
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Address Line | 4722 W KELLOGG DR
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City | WICHITA
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State | KS
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Zip | 67209-2508
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Country | US
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Telephone | 316-440-2565
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Fax | 316-440-2750
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Authorized Official
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Title or Position | OWNER
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Name | DAMEN WAYNE HERSHBERGER
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Credential | MD
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Telephone | 316-687-3275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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