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General NPI Number Information
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NPI Number | 1831159672
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Entity Type | Organization
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Legal Business Name | PSYCHIATIC ASSOCIATES OF CENTRAL KANSAS
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 W IRON AVE 5TH FLOOR, SUITE A
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City | SALINA
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State | KS
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Zip | 67401-2600
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Country | US
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Telephone | 785-309-0355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3362
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City | SALINA
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State | KS
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Zip | 67402-3362
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Country | US
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Telephone | 785-309-0355
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | KOFI AMOAKO ABABIO
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Credential | MD.MPH
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Telephone | 785-309-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0428506
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License Number State | KS
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