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General NPI Number Information
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NPI Number | 1568512986
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Entity Type | Organization
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Legal Business Name | MEDICAL DEVELOPMENTS INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 1000 E PRIMROSE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5154
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Country | US
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Telephone | 417-269-5584
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Fax | 417-269-5582
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Provider Business Mailing Address
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Address Line | 1000 E PRIMROSE ST STE 105A
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5176
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Country | US
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Telephone | 417-269-5584
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Fax | 417-269-5582
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFF HAWKINS
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Credential |
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Telephone | 417-269-6263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 027295
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License Number State | MO
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