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General NPI Number Information
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NPI Number | 1992043202
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS, LLC
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1921 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-612-4815
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Fax | 316-612-4825
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Provider Business Mailing Address
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Address Line | 1921 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-612-4815
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Fax | 316-612-4825
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | TIMOTHY S SHAVER
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Credential |
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Telephone | 316-612-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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