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General NPI Number Information
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NPI Number | 1154646255
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Entity Type | Individual
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Provider Name | JEAN N APPLEBAUGH PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 700 S PARK ST SUITE 300
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-825-6646
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Fax | 608-256-6460
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Provider Business Mailing Address
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Address Line | 1808 W BELTLINE HWY
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City | MADISON
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State | WI
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Zip | 53713-2334
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Country | US
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Telephone | 608-250-1408
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Fax | 608-250-1463
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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 | 14998-040
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License Number State | WI
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