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General NPI Number Information
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NPI Number | 1841267481
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Entity Type | Organization
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Legal Business Name | PREFERRED PET IMAGING OF KANSAS LLC
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 929 N SAINT FRANCIS ST
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-946-5080
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Fax | 316-946-5088
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Provider Business Mailing Address
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Address Line | PO BOX 47132 ATTENTION: NATALIE WATSON
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City | WICHITA
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State | KS
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Zip | 67201-7132
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Country | US
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Telephone | 316-946-5080
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Fax | 316-946-5088
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT ALLAN ALFORD
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Credential |
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Telephone | 316-946-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | KS
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