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NPI 1598109860

NPI 1598109860 : JANET LOUISE CROOKS RPH : SALEM, OR

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General NPI Number Information
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    NPI Number           |    1598109860
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    Entity Type          |    Individual 
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    Provider Name        |    JANET LOUISE CROOKS RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/17/2013
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    Last Update Date     |    12/19/2024
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Provider Practice Location Address
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    Address Line         |    150 LIBERTY ST SE 
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    City                 |    SALEM
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    State                |    OR
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    Zip                  |    97301
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    Country              |    US
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    Telephone            |    503-364-3336
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    Fax                  |    503-364-1474
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Provider Business Mailing Address
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    Address Line         |    150 LIBERTY ST SE 
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    City                 |    SALEM
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    State                |    OR
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    Zip                  |    97301
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    Country              |    US
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    Telephone            |    503-364-3336
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    Fax                  |    503-364-1474
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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       |    RPH0006908
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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       |    RPH-0006908
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    License Number State |    OR
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