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General NPI Number Information
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NPI Number | 1124553276
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Entity Type | Individual
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Provider Name | ROLAND WERNER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 15 CACTUS GARDEN DR
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City | HENDERSON
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State | NV
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Zip | 89014-2339
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Country | US
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Telephone | 800-921-4700
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Fax | 888-661-6644
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Provider Business Mailing Address
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Address Line | 15 CACTUS GARDEN DR
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City | HENDERSON
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State | NV
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Zip | 89014-2339
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Country | US
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Telephone | 800-921-4700
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Fax | 888-661-6644
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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 | 09161
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License Number State | NV
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