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General NPI Number Information
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NPI Number | 1295728129
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Entity Type | Individual
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Provider Name | CHERYL ANN NAMTVEDT RPH
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Gender | Female
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25519 STATE HIGHWAY 224
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City | OGEMA
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State | MN
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Zip | 56569-9506
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Country | US
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Telephone | 218-983-6375
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Fax | 218-983-6384
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Provider Business Mailing Address
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Address Line | 25519 STATE HIGHWAY 224
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City | OGEMA
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State | MN
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Zip | 56569-9506
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Country | US
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Telephone | 218-983-6375
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Fax | 218-983-6384
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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 | 4445
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License Number State | ND
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