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General NPI Number Information
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NPI Number | 1558619478
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Entity Type | Organization
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Legal Business Name | RPH ON THE GO
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 172 E 6TH STREET 704
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City | SAINT PAUL
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State | MN
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Zip | 55101
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Country | US
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Telephone | 651-225-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 172 6TH ST E APT 704
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City | SAINT PAUL
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State | MN
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Zip | 55101-1993
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Country | US
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Telephone | 651-225-8303
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. NASRIN AKBARLOYSHABGAHI
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Credential |
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Telephone | 651-225-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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