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General NPI Number Information
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NPI Number | 1548542517
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Entity Type | Individual
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Provider Name | CHRISTOPHER DUANE FOUTS RPH
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Gender | Male
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 311 N HOSPITAL DR
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City | PAOLA
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State | KS
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Zip | 66071-1303
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Country | US
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Telephone | 913-294-3516
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Fax | 913-294-8411
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Provider Business Mailing Address
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Address Line | 100 N MEMORIAL DR
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City | NEW CASTLE
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State | IN
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Zip | 47362-4915
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Country | US
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Telephone | 765-521-0189
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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 | 26017933A
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License Number State | IN
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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 | 1-120778
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License Number State | KS
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