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General NPI Number Information
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NPI Number | 1821279399
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Entity Type | Organization
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Legal Business Name | PARAGYN SURGICAL LLC
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 551 N HILLSIDE ST STE 330
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City | WICHITA
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State | KS
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Zip | 67214-4926
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Country | US
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Telephone | 316-962-7188
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Fax | 316-962-7199
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Provider Business Mailing Address
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Address Line | 551 N HILLSIDE ST STE 330
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City | WICHITA
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State | KS
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Zip | 67214-4926
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Country | US
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Telephone | 316-962-7188
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Fax | 316-962-7199
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KEVIN E MILLER
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Credential | M.D.
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Telephone | 316-962-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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