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General NPI Number Information
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NPI Number | 1962306449
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH PRIMARY CARE PLUS OF KANSAS
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 4921 W 18TH ST
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City | LAWRENCE
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State | KS
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Zip | 66047-2090
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Country | US
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Telephone | 785-830-0100
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Fax | 785-830-0100
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Provider Business Mailing Address
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Address Line | 2600 WESTHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7107
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Country | US
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Telephone |
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Fax | 407-200-2300
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Authorized Official
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Title or Position | CFO
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Name | DESTIN HARCUS
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Credential |
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Telephone | 225-328-1607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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