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General NPI Number Information
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NPI Number | 1063868883
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Entity Type | Organization
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Legal Business Name | TOURNESOL HEALTH LLC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 124 W 6TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-2820
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Country | US
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Telephone | 785-614-3492
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Fax | 785-340-3277
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Provider Business Mailing Address
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Address Line | 823 W 9TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-3325
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Country | US
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Telephone | 785-614-3492
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Fax | 785-340-3277
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Authorized Official
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Title or Position | PHARMACIST
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Name | BRYAN BOMBARDIER
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Credential |
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Telephone | 785-614-3492
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2-101620
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License Number State | KS
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