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General NPI Number Information
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NPI Number | 1376913889
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Entity Type | Individual
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Provider Name | KK KIENGKHAM HAMILTON PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 216 N STATE ROUTE 7
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City | PLEASANT HILL
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State | MO
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Zip | 64080-1426
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Country | US
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Telephone | 913-522-5853
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Fax |
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Provider Business Mailing Address
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Address Line | 216 N STATE ROUTE 7
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City | PLEASANT HILL
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State | MO
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Zip | 64080-1426
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Country | US
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Telephone |
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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 | 2014031355
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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 | 1-16223
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License Number State | KS
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