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General NPI Number Information
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NPI Number | 1811370745
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Entity Type | Individual
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Provider Name | ELSE UMBREIT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 300 CHERAPA PL STE 201
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City | SIOUX FALLS
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State | SD
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Zip | 57103-2272
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Country | US
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Telephone | 605-328-6868
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91110 SANFORD HEALTH PLAN
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City | SIOUX FALLS
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State | SD
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Zip | 57109-1110
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Country | US
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Telephone |
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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 | 5235
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License Number State | SD
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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 | 117472
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License Number State | MN
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