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General NPI Number Information
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NPI Number | 1326355124
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Entity Type | Individual
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Provider Name | AMBER L KELLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 2600 DODGE ST
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City | DUBUQUE
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State | IA
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Zip | 52003-7159
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Country | US
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Telephone | 563-588-9097
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Fax | 563-588-2453
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Provider Business Mailing Address
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Address Line | 10186 CYPRESS DR
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City | PEOSTA
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State | IA
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Zip | 52068-8087
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Country | US
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Telephone | 563-588-9097
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Fax | 563-588-2453
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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 | 20682
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License Number State | IA
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