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General NPI Number Information
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NPI Number | 1124437009
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Entity Type | Individual
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Provider Name | LYNDON GENE THROM PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2600 ENSIGN HILL DR
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City | PLATTE CITY
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State | MO
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Zip | 64079-7836
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Country | US
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Telephone | 816-431-2751
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Fax | 816-431-2306
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Provider Business Mailing Address
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Address Line | 2600 ENSIGN HILL DR
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City | PLATTE CITY
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State | MO
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Zip | 64079-7836
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Country | US
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Telephone | 816-431-2751
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Fax | 816-431-2306
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2004020851
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-13634
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License Number State | KS
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