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General NPI Number Information
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NPI Number | 1851987606
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Entity Type | Individual
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Provider Name | MICHAEL DOBSON RPH
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Gender | Male
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 3425 INGERSOLL AVE
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City | DES MOINES
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State | IA
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Zip | 50312-5031
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Country | US
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Telephone | 515-255-8642
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Fax | 515-255-6099
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Provider Business Mailing Address
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Address Line | 3425 INGERSOLL AVE
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City | DES MOINES
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State | IA
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Zip | 50312-3976
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Country | US
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Telephone | 515-255-8642
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Fax | 515-255-6099
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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 | 16900
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License Number State | IA
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