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General NPI Number Information
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NPI Number | 1952357808
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Entity Type | Organization
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Legal Business Name | COUNTY OF CLOUD
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 910 W. 11TH STREET
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City | CONCORDIA
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State | KS
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Zip | 66901-3905
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Country | US
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Telephone | 785-243-8140
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Fax | 785-243-8149
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Provider Business Mailing Address
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Address Line | 910 W. 11TH STREET
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City | CONCORDIA
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State | KS
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Zip | 66901
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Country | US
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Telephone | 785-243-8140
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Fax | 785-243-8149
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TONYA LYNN SULANKA
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Credential |
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Telephone | 785-243-8140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | K.S.A. 65-5101
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | K.S.A. 65-5101
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License Number State | KS
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