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General NPI Number Information
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NPI Number | 1043228356
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Entity Type | Organization
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Legal Business Name | T A SOLBERG CO INC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 9750 STATE HIGHWAY 70
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City | MINOCQUA
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State | WI
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Zip | 54548-9753
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Country | US
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Telephone | 715-356-9449
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Fax | 715-356-0011
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Provider Business Mailing Address
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Address Line | PO BOX 50
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City | MINOCQUA
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State | WI
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Zip | 54548-0050
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Country | US
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Telephone | 715-356-7711
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Fax | 715-356-7871
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Authorized Official
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Title or Position | CEO
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Name | TRYGVE SOLBERG
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Credential | RPH
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Telephone | 715-356-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 6648
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License Number State | WI
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