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General NPI Number Information
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NPI Number | 1467510305
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Entity Type | Individual
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Provider Name | LONDON REIBER PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5230 W FRANKLIN RD
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City | BOISE
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State | ID
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Zip | 83705-1109
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Country | US
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Telephone | 208-429-6433
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Fax | 208-429-6427
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Provider Business Mailing Address
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Address Line | 9820 DUNDEE CT
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City | NAMPA
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State | ID
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Zip | 83686-9820
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Country | US
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Telephone | 208-429-6433
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Fax | 208-429-6427
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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 | P5236
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License Number State | ID
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