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General NPI Number Information
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NPI Number | 1952638389
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Entity Type | Organization
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Legal Business Name | LEGACY CASE SERVICES
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 13810 W HARDTNER CT
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City | WICHITA
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State | KS
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Zip | 67235-7536
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Country | US
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Telephone | 316-722-5334
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Fax | 316-722-3302
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Provider Business Mailing Address
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Address Line | PO BOX 9371
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City | WICHITA
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State | KS
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Zip | 67277-0371
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Country | US
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Telephone | 316-722-5334
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Fax | 316-722-3302
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. AMY SUE MCFARREN
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Credential | RN
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Telephone | 316-722-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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