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General NPI Number Information
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NPI Number | 1558645556
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Entity Type | Organization
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Legal Business Name | ASSURED PHARMACY KANSAS INC
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 11100 ASH ST STE 200
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City | LEAWOOD
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State | KS
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Zip | 66211-1732
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Country | US
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Telephone | 844-848-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 12015 E 46TH AVE STE. 650
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City | DENVER
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State | CO
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Zip | 80239-3116
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Country | US
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Telephone | 303-749-0490
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Fax | 720-536-4826
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | BETSY DONAT
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Credential | JD
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Telephone | 303-749-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-13181
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License Number State | KS
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