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General NPI Number Information
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NPI Number | 1205065455
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Entity Type | Individual
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Provider Name | STEPHANIE BRNA ALLEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 13600 S BLACKBOB RD
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City | OLATHE
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State | KS
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Zip | 66062-1934
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Country | US
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Telephone | 913-782-2039
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Fax | 913-782-1463
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Provider Business Mailing Address
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Address Line | 2120 E FIRE TOWER RD
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City | GREENVILLE
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State | NC
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Zip | 27858-8013
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Country | US
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Telephone | 252-355-3083
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Fax | 252-355-5722
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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 | 1-14822
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License Number State | KS
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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 | 20952
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License Number State | NC
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