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General NPI Number Information
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NPI Number | 1619882818
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Entity Type | Individual
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Provider Name | JAMES LUSSIER RPH
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Gender | Male
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | N93W14575 WHITTAKER WAY
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-1652
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Country | US
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Telephone | 262-957-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 309 WESTERN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-3102
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Country | US
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Telephone |
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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 | 23470-40
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License Number State | WI
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