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General NPI Number Information
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NPI Number | 1447669080
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Entity Type | Individual
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Provider Name | JAMES KEITH BROWN RPH
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Gender | Male
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 1863 CR 5300
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City | COFFEYVILLE
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State | KS
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Zip | 67337-8301
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Country | US
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Telephone | 620-251-4145
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Fax | 620-251-4150
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Provider Business Mailing Address
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Address Line | 1863 CR 5300
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City | COFFEYVILLE
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State | KS
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Zip | 67337-8301
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Country | US
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Telephone | 620-251-4145
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Fax | 620-251-4150
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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 | 1-11162
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License Number State | KS
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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 | 9358
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License Number State | OK
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