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General NPI Number Information
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NPI Number | 1487309977
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Entity Type | Individual
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Provider Name | JOESPH THOMAS SCHEBAUM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 1932 HIGHWAY NN
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City | HERMANN
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State | MO
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Zip | 65041-4912
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Country | US
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Telephone | 314-605-3601
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Fax |
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Provider Business Mailing Address
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Address Line | 195 HWY 100 WEST
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City | HERMANN
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State | MO
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Zip | 65041-4912
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Country | US
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Telephone | 573-486-2873
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Fax | 573-486-5463
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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 | 2019025994
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License Number State | MO
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