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General NPI Number Information
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NPI Number | 1679886493
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Entity Type | Individual
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Provider Name | PATRICIA D THORNEWELL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 5801 RESEARCH PARK BLVD
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City | MADISON
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State | WI
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Zip | 53719
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Country | US
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Telephone | 608-800-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 W BELTLINE HWY STE 600
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City | MADISON
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State | WI
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Zip | 53713-2316
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Country | US
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Telephone | 608-729-1598
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Fax | 608-729-2598
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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 | RPH-0012314
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15999-40
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License Number State | WI
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