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General NPI Number Information
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NPI Number | 1881135234
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Entity Type | Organization
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Legal Business Name | NEW HOPE TOGETHER, INC.
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 03/18/2017
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Provider Practice Location Address
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Address Line | 603 E LABRADOR BLVD #4
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City | GARDEN CITY
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State | KS
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Zip | 67846-3292
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Country | US
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Telephone | 620-464-4259
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Fax | 620-702-5484
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Provider Business Mailing Address
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Address Line | 902 N 5TH ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JOHN BIRKY
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Credential | M.D.
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Telephone | 620-277-8676
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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 | 0433089
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License Number State | KS
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