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NPI 1639113442

NPI 1639113442 : PENNY WHEATON LEPINSKI R.PH., M.S. : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1639113442
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    Entity Type          |    Individual 
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    Provider Name        |    PENNY WHEATON LEPINSKI R.PH., M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    1700 UNIVERSITY AVE W 7TH FLOOR HEALTHEAST PAIN CENTER
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55104
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    Country              |    US
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    Telephone            |    651-326-5800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    520 CARRIAGE LN 
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    City                 |    HUDSON
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    State                |    WI
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    Zip                  |    54016-7882
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    Country              |    US
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    Telephone            |    715-386-3372
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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       |    14012-040
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    License Number State |    WI
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