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General NPI Number Information
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NPI Number | 1780943126
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Entity Type | Individual
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Provider Name | TARA L YUNKER R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 2500 HUMES ROAD
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City | JANESVILLE
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State | WI
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Zip | 53545-0309
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Country | US
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Telephone | 608-371-6781
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Fax | 608-563-1305
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Provider Business Mailing Address
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Address Line | 2500 HUMES ROAD
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City | JANESVILLE
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State | WI
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Zip | 53545-0309
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Country | US
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Telephone | 608-371-6781
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Fax | 608-563-1305
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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 | 104168
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License Number State | AK
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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 | 10943-40
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License Number State | WI
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