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General NPI Number Information
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NPI Number | 1962363374
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Entity Type | Organization
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Legal Business Name | TEAL MEDICAL PRACTICE OF KANSAS, P.A.
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 112 SW 7TH ST STE 3C
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City | TOPEKA
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State | KS
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Zip | 66603-3858
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Country | US
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Telephone | 415-294-0775
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Fax | 855-510-5805
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Provider Business Mailing Address
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Address Line | 1012 TORNEY AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94129-1704
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Country | US
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Telephone | 415-294-0775
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Fax | 855-510-5805
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Authorized Official
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Title or Position | HEAD OF OPERATIONS
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Name | MR. ALEX MILLIE
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Credential |
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Telephone | 858-945-1742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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