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General NPI Number Information
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NPI Number | 1437974664
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Entity Type | Organization
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Legal Business Name | THE DEPRESCRIBING CLINIC, LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4730 GRANITE DR
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City | BISMARCK
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State | ND
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Zip | 58503-6133
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Country | US
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Telephone | 701-343-1970
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Fax | 701-751-1812
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Provider Business Mailing Address
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Address Line | 4730 GRANITE DR
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City | BISMARCK
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State | ND
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Zip | 58503-6133
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Country | US
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Telephone | 701-343-1970
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Fax | 701-751-1812
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA RUGGLES
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Credential | PHARMD
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Telephone | 701-343-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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