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General NPI Number Information
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NPI Number | 1831293182
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Entity Type | Organization
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Legal Business Name | SASTUN HEALTH & WELLNESS, PA
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 10965 GRANADA LN STE 101
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1412
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Country | US
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Telephone | 913-777-6665
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Fax | 913-345-0090
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Provider Business Mailing Address
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Address Line | 10965 GRANADA LN STE 101
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1412
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Country | US
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Telephone | 913-777-6665
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Fax | 913-345-0090
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANE L MURRAY
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Credential | MD
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Telephone | 913-777-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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