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General NPI Number Information
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NPI Number | 1184679797
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Entity Type | Individual
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Provider Name | DAVID R HAWSE RPH
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PL
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-454-6123
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Fax | 314-454-4374
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Provider Business Mailing Address
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Address Line | 2703 BARRETT SPRINGS CT
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City | MANCHESTER
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State | MO
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Zip | 63021-3820
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Country | US
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Telephone | 314-965-7668
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Fax | 314-835-1405
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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 | 40709
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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 |
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License Number State | IL
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