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General NPI Number Information
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NPI Number | 1295855674
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Entity Type | Individual
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Provider Name | REBECCA BITTER PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1201 S 25TH E PHARMACY
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City | AMMON
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State | ID
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Zip | 83406-5729
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Country | US
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Telephone | 715-490-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 SOUTH 25TH STREET PHARMACY
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City | AMMON
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State | ID
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Zip | 83406
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Country | US
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Telephone | 715-490-2612
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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 | 050968
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License Number State | NY
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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 | 49989861701
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16276040-40
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7303
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License Number State | ID
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