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NPI 1780848713

NPI 1780848713 : DENNIS GRAUER BS, MS, PHD : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1780848713
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    Entity Type          |    Individual 
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    Provider Name        |    DENNIS GRAUER BS, MS, PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2008
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    Last Update Date     |    07/18/2008
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Provider Practice Location Address
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    Address Line         |    3901 RAINBOW BLVD # MS 4047 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66103-2937
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    Country              |    US
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    Telephone            |    913-588-5360
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22011 W 52ND ST 
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    City                 |    SHAWNEE
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    State                |    KS
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    Zip                  |    66226-2649
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    Country              |    US
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    Telephone            |    
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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       |    1-13597
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    License Number State |    KS
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