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General NPI Number Information
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NPI Number | 1942465208
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Entity Type | Individual
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Provider Name | NATHAN L KANOUS II PHARMD, BCPS
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 10168 PARKGLENN WAY
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City | PARKER
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State | CO
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Zip | 80138-3868
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Country | US
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Telephone | 720-842-5854
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Fax |
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Provider Business Mailing Address
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Address Line | 21813 SADDLEBROOK DR
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City | PARKER
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State | CO
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Zip | 80138-7266
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Country | US
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Telephone | 303-840-2687
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302028757
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 19505
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License Number State | CO
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