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General NPI Number Information
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NPI Number | 1114396454
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Entity Type | Individual
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Provider Name | MEREDITH JUNKER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 109 S MAIN ST
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City | MILBANK
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State | SD
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Zip | 57252-1806
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Country | US
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Telephone | 605-432-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 47243 175TH ST
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City | CLEAR LAKE
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State | SD
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Zip | 57226-5128
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Country | US
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Telephone | 605-874-3041
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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 | R5304
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License Number State | SD
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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 | 117466
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License Number State | MN
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