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General NPI Number Information
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NPI Number | 1639465347
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Entity Type | Individual
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Provider Name | FRANCES ELIZABETH SMITH RPH
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 3300 124TH AVE NW T-1144
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City | COON RAPIDS
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State | MN
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Zip | 55433-3805
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Country | US
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Telephone | 763-323-8402
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Fax | 763-323-8402
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Provider Business Mailing Address
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Address Line | 3300 124TH AVE T-1144
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City | COON RAPIDS
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State | MN
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Zip | 55433
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Country | US
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Telephone | 763-323-8402
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Fax | 763-323-8402
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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 | 114295
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License Number State | MN
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