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General NPI Number Information
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NPI Number | 1215702352
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Entity Type | Individual
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Provider Name | BRANDON SHULFER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1660 60TH ST
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City | WEST DES MOINES
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State | IA
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Zip | 50266-7700
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Country | US
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Telephone | 515-343-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 NW 62ND AVE UNIT 213
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City | JOHNSTON
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State | IA
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Zip | 50131-1530
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Country | US
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Telephone | 715-340-2448
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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 | 24775
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 24775
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License Number State | IA
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