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General NPI Number Information
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NPI Number | 1700033974
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Entity Type | Individual
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Provider Name | KARI ANN JOHNSON R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 500 E VETERANS ST 119A6 INPATIENT PHARMACY 1660-406
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City | TOMAH
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State | WI
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Zip | 54660-3105
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Country | US
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Telephone | 608-372-1685
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Fax | 608-372-1231
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Provider Business Mailing Address
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Address Line | 500 E. VETERANS ST. 119A6 INPATIENT PHARMACY VAMC-TOMAH
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City | TOMAH
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State | WI
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Zip | 54660
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Country | US
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Telephone | 608-372-1685
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Fax | 608-372-1231
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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 | 4643
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License Number State | SD
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