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General NPI Number Information
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NPI Number | 1346444361
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Entity Type | Individual
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Provider Name | ANDREA PARKER RPH
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 N ROCK RD
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City | DERBY
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State | KS
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Zip | 67037-3735
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Country | US
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Telephone | 316-788-6669
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Fax | 316-788-3570
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Provider Business Mailing Address
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Address Line | 12813 W HENDRYX CT
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City | WICHITA
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State | KS
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Zip | 67235-1724
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Country | US
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Telephone | 316-773-2467
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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 | 10615
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License Number State | KS
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