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General NPI Number Information
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NPI Number | 1821409541
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Entity Type | Organization
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Legal Business Name | CRAIG RESOURCES LLC
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 757 N WACO, STE 185
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City | WICHITA
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State | KS
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Zip | 67203
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Country | US
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Telephone | 316-264-9988
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Fax | 316-264-0016
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Provider Business Mailing Address
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Address Line | 1220 E 1ST ST N
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City | WICHITA
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State | KS
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Zip | 67214-3907
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Country | US
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Telephone | 316-266-8717
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Fax | 316-266-8757
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | LEOLA CHRISTINE BOGARD
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Credential |
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Telephone | 316-266-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A-087-046
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License Number State | KS
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