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General NPI Number Information
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NPI Number | 1033768965
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Entity Type | Individual
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Provider Name | DANI FRIEDLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | N5241 US HIGHWAY 45
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City | WATERSMEET
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State | MI
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Zip | 49969-5115
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Country | US
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Telephone | 906-358-4905
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Fax |
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Provider Business Mailing Address
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Address Line | 129 OLD ABE RD
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City | LAC DU FLAMBEAU
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State | WI
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Zip | 54538-9386
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Country | US
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Telephone | 715-588-3371
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Fax | 715-588-3729
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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 | 14583-40
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License Number State | WI
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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 | 5302034076
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License Number State | MI
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