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General NPI Number Information
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NPI Number | 1568904472
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Entity Type | Individual
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Provider Name | WILLIAM RICHARD PFLANZ RPH
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Gender | Male
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 13200 VILLAGE GREEN DR
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City | HUNTLEY
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State | IL
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Zip | 60142-8039
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Country | US
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Telephone | 847-961-5597
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Fax |
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Provider Business Mailing Address
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Address Line | 609 S 2ND ST
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City | WEST DUNDEE
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State | IL
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Zip | 60118-2805
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Country | US
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Telephone | 847-341-6711
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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 | 051.299837
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License Number State | IL
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