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General NPI Number Information
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NPI Number | 1043212335
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Entity Type | Individual
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Provider Name | MICHELLE ELLEN FARRELL PHARM.D., RPH
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1028 WISCONSIN AVE
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City | BOSCOBEL
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State | WI
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Zip | 53805-1532
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Country | US
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Telephone | 608-375-4466
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Fax | 608-375-2383
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Provider Business Mailing Address
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Address Line | 1028 WISCONSIN AVE
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City | BOSCOBEL
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State | WI
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Zip | 53805-1532
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Country | US
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Telephone | 608-375-4466
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Fax | 608-375-2383
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 13255-40
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13255
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License Number State | WI
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