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General NPI Number Information
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NPI Number | 1770847899
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Entity Type | Individual
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Provider Name | DARCY ANN THIE ASLETT PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/03/2012
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Provider Practice Location Address
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Address Line | 415 CLEVELAND BLVD
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City | CALDWELL
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State | ID
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Zip | 83605-3627
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Country | US
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Telephone | 208-459-1756
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Fax |
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Provider Business Mailing Address
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Address Line | 4926 S WILDBROOK WAY
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City | BOISE
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State | ID
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Zip | 83709-5279
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Country | US
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Telephone | 208-921-1331
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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 | P6684
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License Number State | ID
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