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General NPI Number Information
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NPI Number | 1639399470
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Entity Type | Individual
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Provider Name | KURT K GENSLER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 11220 DALLAS PKWY
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City | FRISCO
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State | TX
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Zip | 75033-4102
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Country | US
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Telephone | 469-200-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 735 MAY TRL
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City | MCKINNEY
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State | TX
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Zip | 75069-2533
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Country | US
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Telephone | 806-341-2792
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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 | 25818
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License Number State | TX
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