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General NPI Number Information
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NPI Number | 1497228902
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Entity Type | Individual
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Provider Name | WILLIAM CLARENCE EARP RPH
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Gender | Male
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 312 S COMMERCIAL AVE
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City | COLEMAN
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State | TX
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Zip | 76834-4214
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Country | US
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Telephone | 325-625-2178
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Fax | 325-625-3056
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Provider Business Mailing Address
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Address Line | 3289 COUNTY ROAD 268
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City | BAIRD
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State | TX
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Zip | 79504-4134
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Country | US
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Telephone | 972-900-9912
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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 | 27883
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License Number State | TX
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