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General NPI Number Information
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NPI Number | 1275810558
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Entity Type | Individual
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Provider Name | SHIRLEY MARIE KRIBBS RPH
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Gender | Female
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 1711 N MORLEY ST
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City | MOBERLY
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State | MO
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Zip | 65270-3630
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Country | US
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Telephone | 660-263-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 1466 COUNTY ROAD 1045 BOX 53
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City | CLIFTON HILL
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State | MO
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Zip | 65244-2166
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Country | US
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Telephone | 660-777-3619
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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 | 042296
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License Number State | MO
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