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General NPI Number Information
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NPI Number | 1790802700
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Entity Type | Individual
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Provider Name | BRANDEE N BANWARTH PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 111 W 4TH ST
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City | VINTON
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State | IA
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Zip | 52349-1121
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Country | US
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Telephone | 319-472-4274
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Fax | 319-472-4266
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Provider Business Mailing Address
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Address Line | 2422 VAUGHN DR
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City | MARION
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State | IA
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Zip | 52302-4778
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Country | US
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Telephone | 319-310-7600
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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 | 19588
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License Number State | IA
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