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General NPI Number Information
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NPI Number | 1841470093
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Entity Type | Organization
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Legal Business Name | FAMILY MEDCENTERS, P.A.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 323 N ROSE HILL RD
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City | ROSE HILL
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State | KS
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Zip | 67133-9428
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Country | US
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Telephone | 316-776-2422
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Fax | 316-776-2879
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Provider Business Mailing Address
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Address Line | 323 N ROSE HILL RD
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City | ROSE HILL
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State | KS
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Zip | 67133-9428
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Country | US
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Telephone | 316-776-2422
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Fax | 316-776-2879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID W. NIEDEREE
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Credential | M.D.
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Telephone | 316-788-6963
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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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