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General NPI Number Information
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NPI Number | 1952738809
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOGAN
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 1005 S RANGE AVE STE 200
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City | COLBY
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State | KS
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Zip | 67701-3537
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Country | US
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Telephone | 785-462-3332
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Fax | 785-462-3337
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Provider Business Mailing Address
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Address Line | 1005 S RANGE AVE STE 200
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City | COLBY
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State | KS
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Zip | 67701-3537
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Country | US
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Telephone | 785-462-3332
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Fax | 785-462-3337
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Authorized Official
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Title or Position | CFO
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Name | JOEE SHAME MEYER
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Credential |
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Telephone | 785-672-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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