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General NPI Number Information
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NPI Number | 1063011401
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Entity Type | Individual
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Provider Name | JOSEPHINE OWUSUAH OTTOPAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/17/2020
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Last Update Date | 10/17/2020
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Provider Practice Location Address
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Address Line | 12195 SINGLETREE LN
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-4214
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Country | US
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Telephone | 952-829-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 2119 AMELIA TRL
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City | SHAKOPEE
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State | MN
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Zip | 55379-7712
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Country | US
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Telephone | 501-499-2532
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 124674
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License Number State | MN
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