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General NPI Number Information
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NPI Number | 1063768844
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Entity Type | Individual
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Provider Name | JOSEPH FIBICH PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 11412 CENTENNIAL RD STE 800
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City | LA VISTA
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State | NE
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Zip | 68128-5547
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Country | US
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Telephone | 402-690-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 11412 CENTENNIAL RD STE 800
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City | LA VISTA
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State | NE
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Zip | 68128-5547
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Country | US
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Telephone | 402-506-9900
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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 | S024092
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License Number State | AZ
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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 | 13972
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License Number State | NE
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