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General NPI Number Information
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NPI Number | 1154688679
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Entity Type | Individual
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Provider Name | JULIE ANN SCHROCK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 4560 GRAVOIS VILLAGE CTR
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City | HIGH RIDGE
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State | MO
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Zip | 63049-1838
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Country | US
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Telephone | 636-376-5000
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Fax | 636-376-1870
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Provider Business Mailing Address
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Address Line | 4560 GRAVOIS VILLAGE CTR
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City | HIGH RIDGE
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State | MO
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Zip | 63049-1838
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Country | US
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Telephone | 636-376-5000
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Fax | 636-376-1870
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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 | 2008027487
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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 | S015143
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License Number State | AZ
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