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General NPI Number Information
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NPI Number | 1568061489
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Entity Type | Individual
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Provider Name | KATELIN HIEMER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 4405 N 72ND ST
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City | OMAHA
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State | NE
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Zip | 68134-2350
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Country | US
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Telephone | 402-571-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 17552 PARKER PLZ
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City | OMAHA
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State | NE
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Zip | 68118-6018
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Country | US
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Telephone | 402-440-4180
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 16265
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License Number State | NE
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