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General NPI Number Information
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NPI Number | 1730842485
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Entity Type | Individual
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Provider Name | KATHRYN RAPP PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 1375 E 10TH ST STE B
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City | ROLLA
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State | MO
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Zip | 65401-3591
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Country | US
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Telephone | 573-364-9616
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Fax |
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Provider Business Mailing Address
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Address Line | 180 REDBIRD LN
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City | BOURBON
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State | MO
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Zip | 65441-9212
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Country | US
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Telephone | 573-205-8900
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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 | 2021041899
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License Number State | MO
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