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General NPI Number Information
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NPI Number | 1073052981
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Entity Type | Individual
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Provider Name | WARD KIRK SEALE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 3302 N BROWNELL AVE
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City | JOPLIN
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State | MO
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Zip | 64801-1444
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Country | US
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Telephone | 417-206-6165
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Fax | 417-206-6165
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Provider Business Mailing Address
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Address Line | 3302 NORTH BROWNELL AVENUE
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City | JOPLIN
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State | MO
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Zip | 64801
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Country | US
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Telephone | 417-206-6165
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Fax | 417-206-6165
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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 | 2004002896
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD10332
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13387
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E07497
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License Number State | MS
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