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General NPI Number Information
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NPI Number | 1851463624
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Entity Type | Organization
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Legal Business Name | OLATHE CANCER CARE, P.A.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 20375 W 151ST ST SUITE 208
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City | OLATHE
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State | KS
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Zip | 66061-7218
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Country | US
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Telephone | 913-780-4000
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Fax | 913-780-4038
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Provider Business Mailing Address
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Address Line | 20375 W 151ST ST SUITE 208
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City | OLATHE
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State | KS
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Zip | 66061-7218
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Country | US
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Telephone | 913-780-4000
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Fax | 913-780-4038
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MELODIE J SCHMIDT
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Credential |
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Telephone | 913-780-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0430533
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0420572
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License Number State | KS
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