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General NPI Number Information
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NPI Number | 1275136343
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Entity Type | Individual
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Provider Name | MEGAN RUETH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 4300 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66103-3425
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Country | US
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Telephone | 913-403-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W 46TH TER APT 411
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City | KANSAS CITY
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State | MO
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Zip | 64112-1540
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Country | US
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Telephone | 630-715-4140
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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 | 2019028682
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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 | 1-109718
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License Number State | KS
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