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General NPI Number Information
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NPI Number | 1063795896
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 2330 SHAWNEE MISSION PKWY STE 202-005
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone | 913-945-5999
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF KANSAS HOSPITAL PHARMACY PO BOX 955772
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City | SAINT LOUIS
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State | MO
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Zip | 63195-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BOB PAGE
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Credential |
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Telephone | 913-588-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-10136
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License Number State | KS
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