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General NPI Number Information
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NPI Number | 1831532548
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Entity Type | Individual
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Provider Name | CHAD HERLYN RPH
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Gender | Male
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 7207 N M1 HWY
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City | GLADSTONE
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State | MO
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Zip | 64119-5351
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Country | US
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Telephone | 816-468-0045
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Fax | 816-436-5059
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Provider Business Mailing Address
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Address Line | 12220 S 71 HWY
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City | GRANDVIEW
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State | MO
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Zip | 64030-1130
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Country | US
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Telephone | 816-777-2448
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Fax | 816-777-2579
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 043689
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License Number State | MO
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