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General NPI Number Information
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NPI Number | 1770989667
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Entity Type | Individual
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Provider Name | ATHENA M AMERMAN PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 101 115TH ST
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City | ANAMOSA
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State | IA
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Zip | 52205-7976
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Country | US
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Telephone | 319-462-4314
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Fax | 319-462-5742
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Provider Business Mailing Address
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Address Line | 101 115TH ST
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City | ANAMOSA
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State | IA
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Zip | 52205-7976
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Country | US
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Telephone | 319-462-4314
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Fax | 319-462-5742
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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 | 24656
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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 | S021010
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License Number State | AZ
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