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NPI 1093099681

NPI 1093099681 : CHERYL LINVILLE CALLIER RPH : WENTZVILLE, MO

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General NPI Number Information
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    NPI Number           |    1093099681
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL LINVILLE CALLIER RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2011
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    Last Update Date     |    09/30/2011
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Provider Practice Location Address
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    Address Line         |    1053 MEYER RD 
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    City                 |    WENTZVILLE
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    State                |    MO
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    Zip                  |    63385-3457
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    Country              |    US
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    Telephone            |    636-332-2443
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    341 SENATE CT 
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    City                 |    SAINT CHARLES
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    State                |    MO
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    Zip                  |    63303-8445
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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    |    
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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       |    041744
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    License Number State |    MO
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