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General NPI Number Information
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NPI Number | 1508123126
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Entity Type | Individual
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Provider Name | CHRIS WUENSTEL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 8001 LINCOLN AVE STE 800
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City | SKOKIE
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State | IL
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Zip | 60077-3695
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Country | US
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Telephone | 785-845-9673
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SW KENDALL AVE
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City | TOPEKA
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State | KS
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Zip | 66606
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Country | UM
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Telephone | 785-845-9673
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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 | 1-13939
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License Number State | KS
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