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General NPI Number Information
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NPI Number | 1184162497
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Entity Type | Individual
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Provider Name | ESTHER JARVIS PHARMD, RPH, CDCES
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 29 BLACK COAL DRIVE
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City | FORT WASHAKIE
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State | WY
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Zip | 82516
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Country | US
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Telephone | 307-335-5983
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Fax | 307-332-0304
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Provider Business Mailing Address
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Address Line | PO BOX 341
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City | KINNEAR
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State | WY
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Zip | 82516-0341
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Country | US
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Telephone | 307-335-5983
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Fax | 307-332-0304
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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 | 3282
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 3282
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 3282
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License Number State | WY
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