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General NPI Number Information
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NPI Number | 1164011375
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Entity Type | Individual
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Provider Name | SHARON KAY APPLE
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 3201 MCCLLELAND BLVD. STE. B
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City | JOPLIN
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State | MO
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Zip | 64804-6480
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Country | US
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Telephone | 417-347-6337
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Fax | 417-347-6336
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Provider Business Mailing Address
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Address Line | 3201 MCCLELLAND BLVD
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City | JOPLIN
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State | MO
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Zip | 64804
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Country | US
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Telephone | 417-347-6337
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Fax | 417-347-6336
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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 | 042373
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License Number State | MO
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