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General NPI Number Information
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NPI Number | 1801052592
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Entity Type | Organization
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Legal Business Name | THREE AFFILIATED TRIBES PARSHALL HEALTHCARE TELE-PHARMACY
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 107 3RD ST SE
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City | PARSHALL
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State | ND
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Zip | 58770
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Country | US
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Telephone | 701-862-8220
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Fax | 701-862-4820
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | PARSHALL
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State | ND
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Zip | 58770-0145
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Country | US
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Telephone | 701-862-8220
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Fax | 701-862-4820
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Authorized Official
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Title or Position | CHIEF TELEPHARMACIST
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Name | DONNA BIERI
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Credential |
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Telephone | 701-938-3459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number | 776
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License Number State | ND
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