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General NPI Number Information
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NPI Number | 1700264355
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Entity Type | Individual
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Provider Name | LISA BUCHHOLZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 111 OAK ST
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City | BONNER SPRINGS
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State | KS
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Zip | 66012-1049
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Country | US
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Telephone | 913-596-0159
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 N 97TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66109-3211
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Country | US
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Telephone | 785-550-2766
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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 | 1-14195
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0017618
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2011011745
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License Number State | MO
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