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General NPI Number Information
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NPI Number | 1114698487
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Entity Type | Individual
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Provider Name | DAVID JAVIER POIDOMANI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2021
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 7205 MILLS CIVIC PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8199
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Country | US
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Telephone | 515-222-2948
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 NW JACKSON DR
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City | ANKENY
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State | IA
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Zip | 50023-8441
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Country | US
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Telephone | 630-301-8801
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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 | 24263
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License Number State | IA
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