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General NPI Number Information
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NPI Number | 1902861487
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Entity Type | Organization
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Legal Business Name | CITY OF CONWAY SPRINGS
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 310 WEST SPRING
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City | CONWAY SPRINGS
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State | KS
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Zip | 67031
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Country | US
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Telephone | 402-572-4019
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Fax | 402-965-8594
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Provider Business Mailing Address
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Address Line | 208 W SPRING AVE
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City | CONWAY SPRINGS
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State | KS
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Zip | 67031-8288
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Country | US
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Telephone | 402-572-4019
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Fax | 402-965-8594
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Authorized Official
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Title or Position | CITY CLERK
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Name | JANICE WISE
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Credential |
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Telephone | 402-572-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 440
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License Number State | KS
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