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General NPI Number Information
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NPI Number | 1700261070
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Entity Type | Individual
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Provider Name | TROY ANDERSON PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 225 33RD ST W
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City | HASTINGS
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State | MN
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Zip | 55033-4512
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Country | US
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Telephone | 651-437-6716
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Fax | 651-437-8915
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Provider Business Mailing Address
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Address Line | 225 33RD ST W
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City | HASTINGS
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State | MN
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Zip | 55033-4512
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Country | US
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Telephone | 651-437-6716
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Fax | 651-437-8915
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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 | 120023
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License Number State | MN
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