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General NPI Number Information
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NPI Number | 1093001125
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Entity Type | Individual
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Provider Name | AUBREY SELVEY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 7909 TOWN SQUARE AVE
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City | DARDENNE PRAIRIE
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State | MO
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Zip | 63368-7382
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Country | US
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Telephone | 635-561-8450
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Fax |
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Provider Business Mailing Address
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Address Line | 104 DESERT WILLOW CT
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City | WENTZVILLE
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State | MO
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Zip | 63385-2933
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Country | US
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Telephone | 479-871-2526
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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 | 2010037416
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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 | 49657
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License Number State | TX
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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 | 2023017627
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License Number State | MO
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