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General NPI Number Information
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NPI Number | 1013496942
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Entity Type | Individual
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Provider Name | KATHERINE GIFFORD RPH
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/10/2018
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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 |
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Provider Business Mailing Address
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Address Line | 1615 ASHTON CIR
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City | LIBERTY
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State | MO
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Zip | 64068-3294
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Country | US
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Telephone | 816-724-6189
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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 | 1-12400
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License Number State | KS
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