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General NPI Number Information
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NPI Number | 1225638760
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Entity Type | Individual
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Provider Name | SARAH HOFFMEISTER
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 333 S WESTWOOD BLVD
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-5519
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Country | US
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Telephone | 573-686-6539
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Fax |
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Provider Business Mailing Address
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Address Line | 211 ADELE DR
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-9103
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Country | US
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Telephone | 618-317-4844
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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 | 2018026742
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License Number State | MO
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