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General NPI Number Information
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NPI Number | 1144943168
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Entity Type | Individual
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Provider Name | PAULA KOCH RPH
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1118 MAIN ST SABETHA FAMILY PHARMACY
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City | SABETHA
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State | KS
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Zip | 66534
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Country | US
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Telephone | 785-284-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 506 N 7TH ST
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City | SENECA
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State | KS
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Zip | 66538-1526
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Country | US
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Telephone | 785-393-4360
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Fax |
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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 | K-12644
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License Number State | KS
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