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General NPI Number Information
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NPI Number | 1720688856
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Entity Type | Individual
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Provider Name | DONNA SLAS RPH
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 1050 OGDEN AVE
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City | MONTGOMERY
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State | IL
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Zip | 60538-5404
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Country | US
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Telephone | 630-449-1953
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Fax |
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Provider Business Mailing Address
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Address Line | 1859 VASSAR DR
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City | NAPERVILLE
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State | IL
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Zip | 60565-9262
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Country | US
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Telephone | 331-457-7511
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 051035937
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License Number State | IL
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