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General NPI Number Information
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NPI Number | 1841628351
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Entity Type | Organization
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Legal Business Name | CARITAS CLINICS INC
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 818 N 7TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1422
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Country | US
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Telephone | 913-651-8860
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Fax | 913-682-4409
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Provider Business Mailing Address
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Address Line | 818 N 7TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1422
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Country | US
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Telephone | 913-651-8860
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Fax | 913-682-4409
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GEORGE M. NOONAN
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Credential |
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Telephone | 913-321-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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