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General NPI Number Information
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NPI Number | 1518470574
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Entity Type | Individual
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Provider Name | JOAN GILBERTSON RPH
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1399 S FRONTAGE RD
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City | HASTINGS
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State | MN
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Zip | 55033-2427
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Country | US
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Telephone | 651-438-7960
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 LAKEWOOD DR S
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City | MAPLEWOOD
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State | MN
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Zip | 55119-5962
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Country | US
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Telephone |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 113853
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License Number State | MN
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