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General NPI Number Information
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NPI Number | 1831342740
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Entity Type | Individual
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Provider Name | DAVID OMBENGI PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 8701 W WATERTOWN PLANK RD
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City | MILWAUKEE
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-955-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 W WATERTOWN PLANK RD
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City | MILWAUKEE
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-955-7476
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 14312
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 11950
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP443205
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 14312-040
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License Number State | WI
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