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General NPI Number Information
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NPI Number | 1952367534
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Entity Type | Individual
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Provider Name | PAUL HENRY CHEATUM MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10096 E 13TH ST N STE 144
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City | WICHITA
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State | KS
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Zip | 67206-2645
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Country | US
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Telephone | 316-634-6622
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Fax | 316-630-9461
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Provider Business Mailing Address
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Address Line | 15 S LYNWOOD BLVD
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City | EASTBOROUGH
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State | KS
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Zip | 67207-1037
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Country | US
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Telephone | 316-558-8041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 0428268
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0428268
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License Number State | KS
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