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General NPI Number Information
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NPI Number | 1881026367
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE SPECIALISTS PA
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 1150 N 75TH PL
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City | KANSAS CITY
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State | KS
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Zip | 66112-2430
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Country | US
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Telephone | 913-299-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 N 75TH PL
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City | KANSAS CITY
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State | KS
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Zip | 66112-2430
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Country | US
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Telephone | 913-299-1040
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | MICHAEL TAMER
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Credential | M.D.
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Telephone | 913-438-2226
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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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