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General NPI Number Information
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NPI Number | 1821128257
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Entity Type | Individual
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Provider Name | ANNE LOUISE STARR RP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1801 VALLEY VIEW DRIVE
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503
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Country | US
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Telephone | 712-322-6448
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Fax | 712-328-0990
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Provider Business Mailing Address
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Address Line | 316 ELLIOT ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-0242
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Country | US
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Telephone | 712-322-6448
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Fax | 712-328-0990
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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 | 14889
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License Number State | IA
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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 | 8327
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License Number State | NE
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