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General NPI Number Information
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NPI Number | 1255962924
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Entity Type | Individual
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Provider Name | CARLYLE B MCGUIRE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 120 E 19TH ST
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City | OTTAWA
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State | KS
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Zip | 66067-4300
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Country | US
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Telephone | 785-242-4649
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Fax | 785-242-2401
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Provider Business Mailing Address
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Address Line | 705 ARKANSAS ST APT C
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City | LAWRENCE
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State | KS
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Zip | 66044-2350
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Country | US
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Telephone | 914-484-3848
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 2019029102
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License Number State | MO
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Taxonomy #2
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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 | 1-109898
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License Number State | KS
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