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General NPI Number Information
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NPI Number | 1861816035
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Entity Type | Individual
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Provider Name | SHIMA PATEL PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2014
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 1435 N MAIN ST
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City | SAINT CLAIR
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State | MO
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Zip | 63077-1033
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Country | US
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Telephone | 636-629-8085
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Fax | 636-629-8084
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Provider Business Mailing Address
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Address Line | 131 EUREKA TOWNE CENTER DR
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City | EUREKA
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State | MO
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Zip | 63025-1031
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Country | US
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Telephone | 636-938-9425
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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 | 2007025640
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License Number State | MO
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