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General NPI Number Information
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NPI Number | 1417245192
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 4881 NE GOODVIEW CIR
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1996
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Country | US
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Telephone | 816-350-5844
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Fax | 816-503-4070
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Provider Business Mailing Address
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Address Line | ATTN: RETAIL PHARMACY-EAST 9200 INDIAN CREEK PKWY, BUILDING 9 SUITE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66210
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Country | US
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Telephone | 913-541-4651
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Fax | 913-577-5851
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | ALISON SMITH
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Credential |
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Telephone | 913-541-4651
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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 | 2011018249
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License Number State | MO
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