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General NPI Number Information
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NPI Number | 1275513707
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Entity Type | Organization
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Legal Business Name | HEALTH PROFESSIONAL RESOURCES INC
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 1201 MICHIGAN AVE STE 100
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City | LOGANSPORT
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State | IN
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Zip | 46947-1580
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Country | US
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Telephone | 574-732-0418
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Fax | 574-753-8549
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Provider Business Mailing Address
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Address Line | 1201 MICHIGAN AVE STE 100
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City | LOGANSPORT
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State | IN
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Zip | 46947-1580
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Country | US
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Telephone | 574-732-0418
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Fax | 574-753-8549
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | ANGELA BOWEN
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Credential |
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Telephone | 574-732-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 60004263B
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License Number State | IN
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