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General NPI Number Information
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NPI Number | 1972319721
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTHCARE COLLECTIVE INC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1400 W 12TH AVE STE A
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City | EMPORIA
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State | KS
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Zip | 66801-2516
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Country | US
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Telephone | 620-342-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W 12TH AVE STE A
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City | EMPORIA
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State | KS
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Zip | 66801-2516
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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 | OFFICER
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Name | TYSON ALLEN
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Credential |
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Telephone | 620-343-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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