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General NPI Number Information
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NPI Number | 1447381983
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Entity Type | Organization
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Legal Business Name | COSENTINO GROUP INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 3700 W 95TH ST
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City | LEAWOOD
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State | KS
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Zip | 66206-2037
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Country | US
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Telephone | 913-648-0133
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Fax | 913-648-0737
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Provider Business Mailing Address
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Address Line | 13180 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2815
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Country | US
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Telephone | 913-749-1511
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Fax | 913-905-3027
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | BRENTON FORESEE
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Credential |
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Telephone | 913-749-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-09398
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License Number State | KS
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