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General NPI Number Information
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NPI Number | 1699949065
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Entity Type | Individual
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Provider Name | LUCILLE ANN NOTERMANN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-467-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 2458 78TH ST E
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-2820
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Country | US
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Telephone | 651-455-5353
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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 | 113667
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License Number State | MN
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