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General NPI Number Information
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NPI Number | 1548882210
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Entity Type | Individual
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Provider Name | DEREK JOHN NEIHARDT RPH, PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 1265 S COTNER BLVD STE 30
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City | LINCOLN
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State | NE
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Zip | 68510-4924
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Country | US
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Telephone | 402-488-1184
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Fax | 402-488-1187
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Provider Business Mailing Address
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Address Line | 1265 S COTNER BLVD STE 30
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City | LINCOLN
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State | NE
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Zip | 68510-4924
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Country | US
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Telephone | 402-488-1184
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Fax | 402-488-1187
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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 | 15754
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License Number State | NE
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