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NPI 1134441983

NPI 1134441983 : BRANT PEOPLES PHARMD : SHAWNEE MISSION, KS

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General NPI Number Information
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    NPI Number           |    1134441983
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    Entity Type          |    Individual 
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    Provider Name        |    BRANT PEOPLES PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/22/2010
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    Last Update Date     |    02/22/2010
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Provider Practice Location Address
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    Address Line         |    8703 63RD ST W 
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    City                 |    SHAWNEE MISSION
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    State                |    KS
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    Zip                  |    66202
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    Country              |    US
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    Telephone            |    913-722-4750
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    Fax                  |    913-384-6371
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Provider Business Mailing Address
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    Address Line         |    8703 63RD ST W 
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    City                 |    SHAWNEE MISSION
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    State                |    KS
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    Zip                  |    66202
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    Country              |    US
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    Telephone            |    913-722-4750
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    Fax                  |    913-384-6371
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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       |    13521
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    License Number State |    KS
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