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General NPI Number Information
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NPI Number | 1124102900
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Entity Type | Organization
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Legal Business Name | DENALI CORPORATION
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 945 MARKET ST
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City | LA CYGNE
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State | KS
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Zip | 66040-4100
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Country | US
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Telephone | 913-757-4744
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Fax | 913-398-7757
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Provider Business Mailing Address
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Address Line | 945 MARKET ST
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City | LA CYGNE
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State | KS
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Zip | 66040-4100
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Country | US
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Telephone | 913-757-4744
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Fax | 913-398-7757
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Authorized Official
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Title or Position | OWNER
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Name | DENISE BURNS
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Credential | RPH
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Telephone | 913-757-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-10389
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License Number State | KS
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