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General NPI Number Information
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NPI Number | 1215310149
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Entity Type | Individual
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Provider Name | KARI ANNE DUBOIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 1200 S COLUMBIA RD
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City | GRAND FORKS
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State | ND
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Zip | 58201-4036
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Country | US
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Telephone | 701-780-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S COLUMBIA RD P.O. BOX 6002
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City | GRAND FORKS
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State | ND
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Zip | 58201-4036
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Country | US
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Telephone | 701-780-3444
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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 | RPH5792
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH5792
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 122321
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License Number State | MN
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