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General NPI Number Information
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NPI Number | 1760792899
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Entity Type | Individual
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Provider Name | KRISTA JOI RINGWALD PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 113 FIRST ST EAST
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City | MOUNT VERNON
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State | IA
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Zip | 52314
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Country | US
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Telephone | 319-895-6248
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Fax |
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Provider Business Mailing Address
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Address Line | 125 E BOYSON RD APT 807
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City | HIAWATHA
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State | IA
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Zip | 52233-1209
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Country | US
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Telephone | 317-410-1223
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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 | 26023602A
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License Number State | IN
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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 | 21287
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License Number State | IA
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