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General NPI Number Information
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NPI Number | 1013222819
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Entity Type | Individual
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Provider Name | ROBERT D REKOSKE RPH
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Gender | Male
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | N78W14501 APPLETON AVE
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-4382
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Country | US
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Telephone | 262-255-8673
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Fax | 262-255-8678
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Provider Business Mailing Address
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Address Line | W153N10356 ROGERS DR
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City | GERMANTOWN
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State | WI
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Zip | 53022-5221
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Country | US
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Telephone | 262-253-1211
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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 | 9035
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License Number State | WI
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