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NPI 1922889922

NPI 1922889922 : SEILER MEDICINE LLC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1922889922
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEILER MEDICINE LLC 
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Dates
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    Enumeration Date     |    10/06/2023
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    Last Update Date     |    10/06/2023
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Provider Practice Location Address
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    Address Line         |    4013 N RIDGE RD STE 220 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-8823
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    Country              |    US
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    Telephone            |    316-665-0610
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    Fax                  |    316-260-3009
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Provider Business Mailing Address
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    Address Line         |    4013 N RIDGE RD STE 220 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-8823
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    Country              |    US
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    Telephone            |    316-665-0610
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    Fax                  |    316-260-3009
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PETER  SEILER 
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    Credential           |    MD
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    Telephone            |    316-570-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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