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General NPI Number Information
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NPI Number | 1427466416
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Entity Type | Individual
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Provider Name | DEANNA CAZA RPH
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 121 MAIN ST E PB 130
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City | HINCKLEY
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State | MN
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Zip | 55037-0306
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Country | US
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Telephone | 320-384-6166
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Fax | 320-384-0016
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Provider Business Mailing Address
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Address Line | PO BOX 306 121 MAIN ST E
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City | HINCKLEY
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State | MN
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Zip | 55037-0306
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Country | US
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Telephone | 320-384-6166
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Fax | 320-384-0016
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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 | 115044
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License Number State | MN
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