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General NPI Number Information
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NPI Number | 1598012056
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN PARKHURST PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 3330 W 10TH ST
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City | SEDALIA
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State | MO
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Zip | 65301-2111
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Country | US
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Telephone | 660-827-0000
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Fax | 660-826-3525
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Provider Business Mailing Address
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Address Line | 20248 SADIE LN
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City | SEDALIA
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State | MO
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Zip | 65301-1515
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Country | US
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Telephone | 660-287-6370
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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 | 2001019311
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License Number State | MO
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