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General NPI Number Information
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NPI Number | 1841642394
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Entity Type | Individual
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Provider Name | BRIANA VAN NOORT
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 143 N. MAIN AVE.
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1542
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Country | US
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Telephone | 712-722-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 700 FAIRWAY DR
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City | ROCK VALLEY
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State | IA
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Zip | 51247-1506
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Country | US
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Telephone | 712-470-5715
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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 | 22737
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License Number State | IA
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