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General NPI Number Information
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NPI Number | 1811084015
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Entity Type | Organization
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Legal Business Name | F AND J INC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 2106 GRAND AVE
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City | WAUSAU
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State | WI
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Zip | 54403-6912
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Country | US
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Telephone | 715-845-3713
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 GRAND AVE
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City | WAUSAU
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State | WI
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Zip | 54403-6912
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Country | US
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Telephone | 715-845-3713
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Fax |
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | MR. AARON R. FRANCK
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Credential | RPH
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Telephone | 715-845-3713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 8252042
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License Number State | WI
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