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General NPI Number Information
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NPI Number | 1255641577
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Entity Type | Individual
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Provider Name | CAMI LYN REBMANN PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 728 S 4TH AVE
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City | ONTARIO
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State | OR
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Zip | 97914
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Country | US
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Telephone | 541-889-3390
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Fax | 541-889-4488
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Provider Business Mailing Address
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Address Line | 5125 S WHITLEY
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City | FRUITLAND
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State | ID
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Zip | 83619
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Country | US
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Telephone | 208-241-3257
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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 | 011855
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License Number State | OR
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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 | P6291
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License Number State | ID
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