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General NPI Number Information
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NPI Number | 1467592030
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Entity Type | Organization
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Legal Business Name | RX SHOPS, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 550 N JEFFERSON AVE
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City | LEBANON
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State | MO
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Zip | 65536-2744
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Country | US
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Telephone | 417-532-9110
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Fax | 417-532-9156
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Provider Business Mailing Address
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Address Line | 550 N JEFFERSON AVE
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City | LEBANON
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State | MO
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Zip | 65536-2744
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Country | US
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Telephone | 417-532-9110
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Fax | 417-532-9156
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Authorized Official
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Title or Position | OWNER
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Name | GINGER LYNN MILLER
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Credential | RPH
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Telephone | 417-532-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 043905
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License Number State | MO
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