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General NPI Number Information
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NPI Number | 1457681595
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Entity Type | Individual
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Provider Name | EMILY ANN SCHULZE KOENEKE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | CMR 402 LANDSTUHL REGIONAL MEDICAL CENTER
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City | APO
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State | AE
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Zip | 09180
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Country | US
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Telephone | 011496371867570
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 2090
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City | APO
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State | AE
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Zip | 09180-2090
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Country | US
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Telephone | 919-745-9921
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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 | PH60102055
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License Number State | WA
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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 | 19289
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License Number State | CO
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