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General NPI Number Information
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NPI Number | 1518598598
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Entity Type | Individual
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Provider Name | MICHAEL PAUL PEPPERS RPH, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 100 CHAPEL DR STE A
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City | MONETT
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State | MO
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Zip | 65708-9378
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Country | US
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Telephone | 314-570-3287
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Fax | 931-919-1342
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Provider Business Mailing Address
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Address Line | 5 TIARA
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City | IMPERIAL
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State | MO
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Zip | 63052-2252
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Country | US
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Telephone | 314-570-3287
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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 | 042076
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License Number State | MO
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