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General NPI Number Information
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NPI Number | 1538379672
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Entity Type | Individual
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Provider Name | ERINN L.T. TUBBS RPH
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/19/2022
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Provider Practice Location Address
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Address Line | 250 CROSSROADS DR
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City | PLOVER
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State | WI
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Zip | 54467-4124
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Country | US
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Telephone | 715-345-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 795 MAPLE RDG
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City | AMHERST JUNCTION
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State | WI
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Zip | 54407-9015
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Country | US
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Telephone | 715-824-6724
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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 | R1868
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License Number State | NH
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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 | 13087-40
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License Number State | WI
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