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General NPI Number Information
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NPI Number | 1679531750
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Entity Type | Individual
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Provider Name | DARLA RAE DUREE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 17545 GOLD PLAZA
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City | OMAHA
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State | NE
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Zip | 68130
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Country | US
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Telephone | 402-334-6100
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Fax | 402-334-6118
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Provider Business Mailing Address
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Address Line | 1609 S 175TH AVE
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City | OMAHA
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State | NE
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Zip | 68130-2873
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Country | US
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Telephone | 402-880-3613
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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 | NE10608
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License Number State | NE
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