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General NPI Number Information
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NPI Number | 1609586049
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Entity Type | Individual
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Provider Name | JOACHIM POEPLAU RPH
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Gender | Male
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1 S COMMERCIAL ST
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City | HARRISBURG
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State | IL
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Zip | 62946-1719
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Country | US
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Telephone | 618-253-8182
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Fax | 618-253-6101
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Provider Business Mailing Address
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Address Line | 1911 PORTER AVE
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City | LAWRENCEVILLE
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State | IL
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Zip | 62439-2148
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Country | US
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Telephone | 618-943-6386
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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 | 051-029232
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License Number State | IL
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