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General NPI Number Information
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NPI Number | 1245694884
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Entity Type | Individual
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Provider Name | SARAH BOEHM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2016
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 375 S JORDAN CREEK PKWY
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8139
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Country | US
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Telephone | 515-216-2796
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Fax |
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Provider Business Mailing Address
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Address Line | 151 CORINNE AVE
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-1520
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Country | US
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Telephone | 402-681-6554
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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 | 21675
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13935
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License Number State | NE
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