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General NPI Number Information
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NPI Number | 1619029758
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Entity Type | Individual
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Provider Name | DUA M. ANDERSON PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 801 GALVIN RD S
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City | BELLEVUE
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State | NE
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Zip | 68005-2203
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Country | US
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Telephone | 402-292-0331
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Fax |
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Provider Business Mailing Address
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Address Line | 800 8TH AVE
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City | PLATTSMOUTH
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State | NE
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Zip | 68048-2529
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Country | US
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Telephone | 402-319-0314
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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 | 12485
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License Number State | NE
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