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General NPI Number Information
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NPI Number | 1649635160
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Entity Type | Organization
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Legal Business Name | KAYWES INC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 1260 S DEFIANCE ST
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City | ARCHBOLD
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State | OH
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Zip | 43502-1620
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Country | US
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Telephone | 567-444-4898
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Fax | 567-444-4899
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Provider Business Mailing Address
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Address Line | PO BOX 265
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City | WEST UNITY
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State | OH
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Zip | 43570-0265
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Country | US
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Telephone | 419-924-2444
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Fax | 419-924-5903
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Authorized Official
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Title or Position | OWNER - RPH
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Name | CHUCK KLINGER
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Credential |
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Telephone | 419-924-2444
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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 | PMY.022549300-03
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License Number State | OH
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