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General NPI Number Information
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NPI Number | 1013296631
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Entity Type | Individual
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Provider Name | JILL ANDREA SELLERS BSPHARM, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2011
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Last Update Date | 08/13/2011
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Provider Practice Location Address
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Address Line | 3650 E SUNSHINE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65809-2820
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Country | US
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Telephone | 417-889-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 4185 E WILSHIRE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65809-3407
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Country | US
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Telephone | 218-209-1514
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 043683
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License Number State | MO
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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 | 043683
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License Number State | MO
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