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General NPI Number Information
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NPI Number | 1720126709
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH KAUTEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2216 MAIN ST
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City | EMMETSBURG
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State | IA
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Zip | 50536-2447
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Country | US
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Telephone | 712-852-2690
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Fax |
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Provider Business Mailing Address
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Address Line | 707 STATE ST
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City | EMMETSBURG
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State | IA
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Zip | 50536-1361
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Country | US
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Telephone |
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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 | 19495
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License Number State | IA
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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 | 15770
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License Number State | CO
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