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General NPI Number Information
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NPI Number | 1447741541
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Entity Type | Individual
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Provider Name | DANIEL PAUL JUNE
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Gender | Male
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 4835 KIETZKE LN
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City | RENO
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State | NV
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Zip | 89509-6549
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Country | US
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Telephone | 775-829-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 5280 EAGLECREST DR
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City | RENO
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State | NV
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Zip | 89523-6247
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Country | US
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Telephone | 847-848-7682
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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 | 0015742
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 60720539
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19430
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License Number State | NV
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