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General NPI Number Information
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NPI Number | 1427129063
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Entity Type | Individual
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Provider Name | ANTHONY L BOMBARDIER PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1020 ELMHURST BLVD
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City | CONCORDIA
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State | KS
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Zip | 66901-3900
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Country | US
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Telephone | 785-243-4414
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Fax | 785-243-1827
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Provider Business Mailing Address
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Address Line | 1103 21ST ST
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City | BELLEVILLE
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State | KS
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Zip | 66935-2717
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Country | US
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Telephone | 785-614-1449
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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 | 1-13803
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License Number State | KS
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