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General NPI Number Information
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NPI Number | 1659615011
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Entity Type | Individual
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Provider Name | WILLIAM R WEYRAUCH PHARM D
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Gender | Male
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Dates
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Enumeration Date | 11/23/2012
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 2761 PRAIRIE AVE
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City | BELOIT
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State | WI
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Zip | 53511-2246
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Country | US
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Telephone | 608-365-4418
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Fax | 608-365-2023
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Provider Business Mailing Address
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Address Line | 2761 PRAIRIE AVE
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City | BELOIT
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State | WI
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Zip | 53511-2246
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Country | US
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Telephone | 608-365-4418
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Fax | 608-365-2023
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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 | 15647-40
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License Number State | WI
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