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General NPI Number Information
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NPI Number | 1619198108
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Entity Type | Individual
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Provider Name | MONICA V TERRY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8919 PARALLEL PKWY WEST TOWER, SUITE 403
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City | KANSAS CITY
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State | KS
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Zip | 66112-1636
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Country | US
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Telephone | 913-596-4651
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Fax | 913-596-4636
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Provider Business Mailing Address
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Address Line | 11816 JOHNSON DR
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City | SHAWNEE
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State | KS
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Zip | 66203-2650
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Country | US
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Telephone | 913-596-4651
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Fax | 913-596-4636
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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 | 1-12402
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License Number State | KS
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