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General NPI Number Information
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NPI Number | 1356706790
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Entity Type | Organization
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Legal Business Name | CH ALLIED SERVICES, INC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 900 W NIFONG BLVD
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-815-5465
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Fax | 573-815-5470
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Provider Business Mailing Address
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Address Line | 1600 E BROADWAY
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City | COLUMBIA
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State | MO
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Zip | 65201-5844
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Country | US
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Telephone | 573-815-3367
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Fax | 573-815-6470
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES J SINEK
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Credential |
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Telephone | 573-815-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2015041134
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License Number State | MO
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