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General NPI Number Information
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NPI Number | 1588709794
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Entity Type | Individual
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Provider Name | WILLIAM F. MITCHELL JR. R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 STE. GENEVIEVE DRIVE
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City | STE. GENEVIEVE
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State | MO
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Zip | 63670
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Country | US
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Telephone | 573-883-7730
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Fax | 573-883-7734
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Provider Business Mailing Address
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Address Line | 8860 BURNTOAK DR.
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City | ST. LOUIS
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State | MO
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Zip | 63123
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Country | US
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Telephone | 314-849-2168
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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 | 028840
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License Number State | MO
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