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General NPI Number Information
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NPI Number | 1952664708
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Entity Type | Organization
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Legal Business Name | SUNFLOWER SURGICAL SPECIALISTS
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 268 NE 140TH STREET
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City | SAINT JONES
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State | KS
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Zip | 67576-1594
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Country | US
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Telephone | 785-305-1594
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Fax | 620-458-3052
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Provider Business Mailing Address
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Address Line | 268 NE 140TH STREET
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City | SAINT JONES
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State | KS
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Zip | 67576-1594
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Country | US
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Telephone | 785-305-1594
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Fax | 620-458-3052
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. ROY R DANKS
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Credential | D.O.
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Telephone | 785-305-1594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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