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General NPI Number Information
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NPI Number | 1851550164
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL FLINT HILLS AAA
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 401 HOUSTON ST
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City | MANHATTAN
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State | KS
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Zip | 66502-6135
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Country | US
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Telephone | 785-776-9294
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Fax |
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Provider Business Mailing Address
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Address Line | 401 HOUSTON ST
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City | MANHATTAN
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State | KS
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Zip | 66502-6135
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Country | US
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Telephone | 785-776-9294
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JULIE GOVERT WALTERS
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Credential |
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Telephone | 785-776-9294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | KS
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