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General NPI Number Information
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NPI Number | 1548983596
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Entity Type | Individual
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Provider Name | SILAS KIPKURUI ROTICH RPH
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Gender | Male
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 110 W MAIN ST
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City | GARDNER
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State | KS
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Zip | 66030-1106
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Country | US
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Telephone | 913-856-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 E 21ST TER
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City | LAWRENCE
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State | KS
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Zip | 66046-3268
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Country | US
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Telephone | 785-979-0250
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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 | 1-100903
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License Number State | KS
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