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General NPI Number Information
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NPI Number | 1942099700
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE SURGEONS OF KANSAS LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 400 N WOODLAWN ST STE 211
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City | WICHITA
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State | KS
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Zip | 67208-4332
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Country | US
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Telephone | 402-751-0600
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Fax | 402-751-0800
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Provider Business Mailing Address
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Address Line | 400 N WOODLAWN ST STE 211
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City | WICHITA
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State | KS
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Zip | 67208-4332
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Country | US
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Telephone | 402-751-0600
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Fax | 402-751-0800
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Authorized Official
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Title or Position | OWNER
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Name | DAVID WATERS
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Credential | MD
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Telephone | 402-751-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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