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General NPI Number Information
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NPI Number | 1326852427
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Entity Type | Individual
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Provider Name | ROSE LAMESJERANT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1001 NOBLE ST STE 1
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City | FAIRBANKS
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State | AK
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Zip | 99701-4991
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Country | US
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Telephone | 907-374-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 LANCELOT DR W
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City | NORTH POLE
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State | AK
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Zip | 99705-6557
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Country | US
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Telephone |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PHAP2185
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License Number State | AK
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