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General NPI Number Information
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NPI Number | 1821272691
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Entity Type | Organization
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Legal Business Name | CAH ACQUISITION COMPANY 3 LLC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 240 W 18TH ST
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City | HORTON
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State | KS
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Zip | 66439-1245
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Country | US
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Telephone | 785-486-2642
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Fax | 785-486-2842
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Provider Business Mailing Address
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Address Line | 240 W 18TH ST
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City | HORTON
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State | KS
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Zip | 66439-1245
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Country | US
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Telephone | 785-486-2642
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Fax | 785-486-2842
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Authorized Official
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Title or Position | CEO
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Name | DALE A WHITE
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Credential |
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Telephone | 785-486-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H-007-002
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License Number State | KS
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