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General NPI Number Information
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NPI Number | 1639206782
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Entity Type | Individual
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Provider Name | YVETTE M DRIVER RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5510 HOWARD ST
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City | SKOKIE
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State | IL
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Zip | 60077-2620
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Country | US
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Telephone | 800-553-7359
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Fax |
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Provider Business Mailing Address
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Address Line | 208 N SARGENT AVE
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City | GLENDIVE
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State | MT
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Zip | 59330-2527
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Country | US
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Telephone | 406-671-8569
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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 | 3312
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License Number State | MT
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