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NPI 1366729030

NPI 1366729030 : LYNETTE JEAN WEIL RPH : SALINA, KS

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General NPI Number Information
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    NPI Number           |    1366729030
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    Entity Type          |    Individual 
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    Provider Name        |    LYNETTE JEAN WEIL RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/09/2011
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    Last Update Date     |    11/09/2011
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Provider Practice Location Address
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    Address Line         |    700 S BROADWAY BLVD 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401-4655
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    Country              |    US
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    Telephone            |    785-827-3974
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    Fax                  |    785-826-9688
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Provider Business Mailing Address
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    Address Line         |    700 S BROADWAY BLVD 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401-4655
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    Country              |    US
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    Telephone            |    785-827-3974
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    Fax                  |    785-826-9688
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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       |    10295
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    License Number State |    KS
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