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NPI 1437581519

NPI 1437581519 : ANTHONY CELSI R.PH. : SKOKIE, IL

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General NPI Number Information
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    NPI Number           |    1437581519
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY CELSI R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2013
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    Last Update Date     |    07/31/2013
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Provider Practice Location Address
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    Address Line         |    8001 LINCOLN AVE SUITE 800
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    City                 |    SKOKIE
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    State                |    IL
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    Zip                  |    60077-3695
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    Country              |    US
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    Telephone            |    515-490-3179
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6220 PLEASANT ST 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50266-2331
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    Country              |    US
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    Telephone            |    515-490-3179
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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       |    16726
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    License Number State |    IA
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