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General NPI Number Information
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NPI Number | 1487895561
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Entity Type | Organization
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Legal Business Name | HEALTH PRIORITIES, INC.
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 808 E WAKEFIELD AVE
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City | SIKESTON
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State | MO
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Zip | 63801-5147
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Country | US
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Telephone | 573-471-1930
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Fax | 573-471-4591
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Provider Business Mailing Address
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Address Line | 808 E WAKEFIELD AVE
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City | SIKESTON
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State | MO
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Zip | 63801-5147
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Country | US
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Telephone | 573-471-1930
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Fax | 573-471-4591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDRA T BOLLINGER
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Credential | PHARM.D., CGP, CDE
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Telephone | 573-471-1930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2000168428
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License Number State | MO
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