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General NPI Number Information
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NPI Number | 1225311434
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Entity Type | Individual
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Provider Name | ANGELA ALDRIDGE PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 15170 W GREENFIELD AVE
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City | BROOKFIELD
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State | WI
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Zip | 53005-7018
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Country | US
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Telephone | 262-782-2787
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Fax |
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Provider Business Mailing Address
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Address Line | W168S6967 PARKLAND DR
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City | MUSKEGO
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State | WI
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Zip | 53150-8332
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Country | US
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Telephone | 414-852-1995
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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 | 15065-40
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License Number State | WI
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