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General NPI Number Information
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NPI Number | 1962577122
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF SALINA, LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 400 S SANTA FE AVE
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City | SALINA
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State | KS
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Zip | 67401-4144
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Country | US
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Telephone | 785-452-7163
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2306
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City | OVERLAND PARK
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State | KS
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Zip | 66201-2306
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Country | US
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Telephone | 913-469-4244
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Fax | 913-469-1939
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MRS. SHELLI L LEONARD
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Credential |
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Telephone | 913-469-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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