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General NPI Number Information
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NPI Number | 1275133548
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Entity Type | Individual
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Provider Name | SHANE LANDON HATFIELD PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 201 SE SALEM ST
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City | OAK GROVE
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State | MO
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Zip | 64075-9284
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Country | US
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Telephone | 816-690-7606
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Fax | 816-690-6322
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Provider Business Mailing Address
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Address Line | 406 NE STATION DR
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5589
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Country | US
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Telephone | 660-641-0675
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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 | 2014026376
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License Number State | MO
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