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General NPI Number Information
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NPI Number | 1164863486
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH THOMAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/28/2013
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Provider Practice Location Address
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Address Line | 216 S KINGSHIGHWAY BLVD MAILSTOP: 90-52-411
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1026
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Country | US
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Telephone | 314-699-5802
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Fax | 314-454-7320
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Provider Business Mailing Address
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Address Line | 4545 LACLEDE AVE APARTMENT 203
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2125
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Country | US
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Telephone | 270-766-9710
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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 | 016535
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License Number State | KY
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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 | 2013027379
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License Number State | MO
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