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General NPI Number Information
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NPI Number | 1225082183
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Entity Type | Organization
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Legal Business Name | SALEAUMUA INC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6232 NIEMAN RD
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City | SHAWNEE
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State | KS
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Zip | 66203-2902
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Country | US
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Telephone | 913-268-4747
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Fax | 913-268-4846
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Provider Business Mailing Address
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Address Line | 6232 NIEMAN RD
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City | SHAWNEE
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State | KS
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Zip | 66203-2902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND D SALEAUMUA
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Credential |
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Telephone | 913-268-4747
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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 | 209629
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License Number State | KS
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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 |
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License Number State |
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