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General NPI Number Information
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NPI Number | 1629726286
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Entity Type | Individual
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Provider Name | AMBER CLAYPOOL
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Gender | Female
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 109 N BLUE JAY DR
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City | LIBERTY
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State | MO
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Zip | 64068-1906
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Country | US
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Telephone | 816-792-4632
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SUNNY CIR APT A
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City | BELTON
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State | MO
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Zip | 64012-2754
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Country | US
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Telephone | 816-810-9559
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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 | 2021038998
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License Number State | MO
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