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General NPI Number Information
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NPI Number | 1457570046
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Entity Type | Individual
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Provider Name | KIMBERLY SUE BURTON RPH, PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1005 PENNSYLVANIA AVE STE 108
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City | OTTUMWA
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State | IA
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Zip | 52501-6408
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Country | US
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Telephone | 641-684-2462
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Fax | 641-684-2465
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Provider Business Mailing Address
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Address Line | 901 S WEST ST
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City | BLOOMFIELD
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State | IA
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Zip | 52537-2139
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Country | US
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Telephone | 641-664-2126
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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 | 19682
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License Number State | IA
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