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General NPI Number Information
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NPI Number | 1073154035
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Entity Type | Individual
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Provider Name | AMY POWELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 3510 LINCOLN WAY
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City | AMES
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State | IA
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Zip | 50014-8533
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Country | US
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Telephone | 515-232-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 UNIVERSITY AVE STE 200
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City | DES MOINES
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State | IA
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Zip | 50314-2355
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Country | US
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Telephone | 515-248-1490
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Fax | 515-248-1440
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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 | 22009
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License Number State | IA
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