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General NPI Number Information
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NPI Number | 1104932052
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Entity Type | Individual
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Provider Name | JUDITH K PEIPERT R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 108 RANSOM ST
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City | BRIGHTON
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State | IL
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Zip | 62012
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Country | US
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Telephone | 618-372-3313
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Fax | 618-372-8332
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Provider Business Mailing Address
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Address Line | 6927 GUSHING SPRINGS RD
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City | EDWARDSVILLE
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State | IL
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Zip | 62025
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Country | US
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Telephone | 618-656-6789
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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 |
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License Number State | IL
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