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General NPI Number Information
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NPI Number | 1679872071
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Entity Type | Individual
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Provider Name | MICHAEL STOTT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 900 W FOXWOOD DR
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City | RAYMORE
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State | MO
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Zip | 64083-7201
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Country | US
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Telephone | 816-265-6134
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Fax | 816-265-6136
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Provider Business Mailing Address
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Address Line | 900 W FOXWOOD DR
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City | RAYMORE
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State | MO
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Zip | 64083-7201
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Country | US
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Telephone | 816-265-6134
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Fax | 816-265-6136
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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 | 2007025734
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-14585
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11853
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License Number State | NE
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