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General NPI Number Information
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NPI Number | 1427238922
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Entity Type | Individual
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Provider Name | TRACY DEE DRYER RPH
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Gender | Female
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 2246 SW WALL STREET
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City | BLUE SPRINGS
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State | MO
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Zip | 64015
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Country | US
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Telephone | 816-944-0688
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Fax | 888-380-0839
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Provider Business Mailing Address
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Address Line | 605 SW US HWY 40, SUITE #440
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City | BLUE SPRINGS
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State | MO
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Zip | 64014
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Country | US
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Telephone | 816-944-0688
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Fax | 888-380-0839
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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 | 042208
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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 | 042208
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License Number State | MO
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