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General NPI Number Information
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NPI Number | 1578847547
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Entity Type | Individual
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Provider Name | SHANNON J HATTEY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 1701 NW 7 HWY
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City | BLUE SPRINGS
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State | MO
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Zip | 64015
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Country | US
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Telephone | 816-220-3620
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 NE 2ND ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-1301
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Country | US
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Telephone | 816-210-7146
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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 | 029871
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License Number State | MO
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