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General NPI Number Information
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NPI Number | 1992088900
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Entity Type | Individual
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Provider Name | CARL CHRIS CLAUSEN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 1675 W SOUTH ST
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City | OZARK
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State | MO
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Zip | 65721-5152
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Country | US
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Telephone | 417-485-0762
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Fax | 417-485-0793
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Provider Business Mailing Address
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Address Line | 382 EVENING LN
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City | OZARK
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State | MO
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Zip | 65721-4117
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Country | US
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Telephone | 417-582-0445
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Fax | 417-485-0793
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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 | 2005036832
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License Number State | MO
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