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General NPI Number Information
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NPI Number | 1427620533
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Entity Type | Individual
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Provider Name | KRISTA CLIFTON
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Gender | Female
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 1515 HIGHWAY 278 E
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City | AMORY
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State | MS
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Zip | 38821-5909
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Country | US
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Telephone | 662-256-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 1398 COUNTY ROAD 1451
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City | MOOREVILLE
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State | MS
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Zip | 38857-7204
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Country | US
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Telephone | 662-255-7976
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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 | E-100250
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License Number State | MS
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