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General NPI Number Information
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NPI Number | 1336829621
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Entity Type | Individual
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Provider Name | MATTHEW XAVIER LAING
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Gender | Male
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 12221 BLUE VALLEY PKWY
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2640
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Country | US
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Telephone | 913-217-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 8892 INKSTER ST
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City | LENEXA
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State | KS
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Zip | 66227-7500
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Country | US
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Telephone | 816-520-1291
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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 | 1-110655
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License Number State | KS
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