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General NPI Number Information
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NPI Number | 1902110133
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Entity Type | Individual
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Provider Name | CLAUS M NIELSEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 2288 W 131ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5913
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Country | US
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Telephone | 913-390-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 2288 W 131ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5913
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Country | US
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Telephone | 913-638-0853
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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 | 2005030407
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License Number State | MO
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Taxonomy #2
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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 | 1-13714
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License Number State | KS
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