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General NPI Number Information
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NPI Number | 1639530512
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Entity Type | Individual
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Provider Name | EMILY SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 3201 N 16TH ST PHARMACY
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City | PARSONS
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State | KS
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Zip | 67357-3472
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Country | US
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Telephone | 620-421-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W 4TH ST
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City | ALTAMONT
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State | KS
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Zip | 67330-9221
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Country | US
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Telephone | 620-423-5374
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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 | 1-17243
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License Number State | KS
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