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General NPI Number Information
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NPI Number | 1457335036
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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 | 12/06/2005
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 4000 CAMBRIDGE STREET MAILSTOP 4040
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City | KANSAS CITY
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State | KS
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Zip | 66160-8501
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Country | US
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Telephone | 913-588-1227
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Fax | 913-588-2385
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Provider Business Mailing Address
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Address Line | PO BOX 955772
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City | SAINT LOUIS
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State | MO
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Zip | 63195-5772
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Country | US
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Telephone | 913-588-1227
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Fax | 913-588-2385
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Authorized Official
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Title or Position | PRESIDENT
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Name | BOB PAGE
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Credential |
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Telephone | 913-588-1227
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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 | 204345
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License Number State | KS
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