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General NPI Number Information
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NPI Number | 1437585767
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Entity Type | Individual
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Provider Name | RONNA KAY BOND RPH
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Gender | Female
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 2330 NEZ PERCE DR
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City | LEWISTON
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State | ID
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Zip | 83501-4107
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Country | US
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Telephone | 208-798-0481
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Fax | 208-798-0715
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Provider Business Mailing Address
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Address Line | 2153 QUAILWOOD DR
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City | CLARKSTON
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State | WA
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Zip | 99403-1743
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Country | US
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Telephone | 509-758-8855
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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 | P4717
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License Number State | ID
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